Provider First Line Business Practice Location Address:
532 N MILPAS 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:
93103-3137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-884-0111
Provider Business Practice Location Address Fax Number:
805-884-1001
Provider Enumeration Date:
10/30/2014