Provider First Line Business Practice Location Address:
127 SANTO TOMAS LN
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:
93108-2516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-565-2006
Provider Business Practice Location Address Fax Number:
805-565-2006
Provider Enumeration Date:
02/03/2006