Provider First Line Business Practice Location Address:
926 OLIVE 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:
93101-1407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-729-5252
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/04/2013