Provider First Line Business Practice Location Address:
2323 DE LA VINA ST
Provider Second Line Business Practice Location Address:
SUITE #206
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3877
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-2848
Provider Business Practice Location Address Fax Number:
805-569-2274
Provider Enumeration Date:
01/10/2007