Provider First Line Business Practice Location Address:
525 E MICHELTORENA ST STE A
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:
93103-4211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-1648
Provider Business Practice Location Address Fax Number:
805-965-5214
Provider Enumeration Date:
05/09/2007