Provider First Line Business Practice Location Address:
924 ANACAPA ST
Provider Second Line Business Practice Location Address:
ATTN: GARDEN SUITE
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-7107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-364-3182
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2015