Provider First Line Business Practice Location Address:
1807 E MOUNTAIN DR
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:
93108-1318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-969-3690
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2006