Provider First Line Business Practice Location Address:
304 W LOS OLIVOS 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:
93105-4307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-698-7483
Provider Business Practice Location Address Fax Number:
805-687-7145
Provider Enumeration Date:
05/15/2008