Provider First Line Business Practice Location Address:
110 1/2 E DE LA GUERRA 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:
93101-2205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-698-8112
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2015