Provider First Line Business Practice Location Address:
811 E MASON ST
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:
93103-3314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-9801
Provider Business Practice Location Address Fax Number:
805-564-6773
Provider Enumeration Date:
10/05/2006