Provider First Line Business Practice Location Address:
602 ANACAPA 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:
93101-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-8857
Provider Business Practice Location Address Fax Number:
805-683-5872
Provider Enumeration Date:
11/01/2006