Provider First Line Business Practice Location Address:
1933 CLIFF DR STE 29
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:
93109-1589
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-2618
Provider Business Practice Location Address Fax Number:
805-682-0125
Provider Enumeration Date:
12/15/2006