Provider First Line Business Practice Location Address:
16 W MISSION ST
Provider Second Line Business Practice Location Address:
SUITE R
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-7779
Provider Business Practice Location Address Fax Number:
805-672-9387
Provider Enumeration Date:
07/31/2006