Provider First Line Business Practice Location Address:
315 CAMINO DEL REMEDIO
Provider Second Line Business Practice Location Address:
#258
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-5450
Provider Business Practice Location Address Fax Number:
805-681-4747
Provider Enumeration Date:
12/15/2006