Provider First Line Business Practice Location Address:
106 W MISSION 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:
93101-2819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-971-4381
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2017