Provider First Line Business Practice Location Address:
7 ASHLEY AVE
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:
93103-3307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-1237
Provider Business Practice Location Address Fax Number:
805-963-4787
Provider Enumeration Date:
04/22/2014