Provider First Line Business Practice Location Address:
1227 DE LA VINA ST
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:
93101-3129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-3313
Provider Business Practice Location Address Fax Number:
805-690-1043
Provider Enumeration Date:
07/21/2006