Provider First Line Business Practice Location Address:
2860 KENMORE PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-2222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-1102
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2012