Provider First Line Business Practice Location Address:
515 W PUEBLO 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:
93105-6212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-8911
Provider Business Practice Location Address Fax Number:
805-563-9224
Provider Enumeration Date:
10/12/2006