Provider First Line Business Practice Location Address:
22 W MISSION ST
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-884-8030
Provider Business Practice Location Address Fax Number:
805-884-8031
Provider Enumeration Date:
08/22/2007