Provider First Line Business Practice Location Address:
120 E DE LA GUERRA ST
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-1913
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2007