Provider First Line Business Practice Location Address:
411 E CANON PERDIDO ST
Provider Second Line Business Practice Location Address:
SUITE 17
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-1550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-886-3532
Provider Business Practice Location Address Fax Number:
805-569-1277
Provider Enumeration Date:
11/15/2006