Provider First Line Business Practice Location Address:
27 E VICTORIA ST
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-1651
Provider Business Practice Location Address Fax Number:
805-845-6738
Provider Enumeration Date:
12/24/2010