Provider First Line Business Practice Location Address:
1136 E MONTECITO 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:
93103-2635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-568-3418
Provider Business Practice Location Address Fax Number:
805-681-2039
Provider Enumeration Date:
06/24/2006