Provider First Line Business Practice Location Address:
241 LA MARINA
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:
93109-2110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-346-4386
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2017