Provider First Line Business Practice Location Address:
33 W MISSION ST STE 204
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:
93101-2455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-7604
Provider Business Practice Location Address Fax Number:
805-569-6509
Provider Enumeration Date:
01/11/2008