Provider First Line Business Practice Location Address:
422 N MILPAS STREET
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-3192
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-9000
Provider Business Practice Location Address Fax Number:
805-962-9000
Provider Enumeration Date:
01/08/2007