Provider First Line Business Practice Location Address:
107 W GUTIERREZ 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-452-1252
Provider Business Practice Location Address Fax Number:
877-823-2935
Provider Enumeration Date:
12/12/2008