Provider First Line Business Practice Location Address:
925 DE LA VINA ST STE 100
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:
93101-3202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-530-5252
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/09/2014