Provider First Line Business Practice Location Address:
924 ANACAPA ST. B-2
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:
805-729-1725
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2013