Provider First Line Business Practice Location Address:
319 N MILPAS 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:
93103-3262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-3011
Provider Business Practice Location Address Fax Number:
805-965-3441
Provider Enumeration Date:
10/17/2006