Provider First Line Business Practice Location Address:
49 VIA ALICIA
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:
93108-1746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-637-0715
Provider Business Practice Location Address Fax Number:
805-969-2419
Provider Enumeration Date:
04/29/2009