Provider First Line Business Practice Location Address:
829 DE LA VINA ST
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-319-1959
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/02/2011