Provider First Line Business Practice Location Address:
2411 BATH ST
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:
93105-4324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-0282
Provider Business Practice Location Address Fax Number:
805-682-8364
Provider Enumeration Date:
10/28/2008