Provider First Line Business Practice Location Address:
1136 DE LA VINA 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:
93101-3114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-564-3534
Provider Business Practice Location Address Fax Number:
805-563-1977
Provider Enumeration Date:
08/02/2011