Provider First Line Business Practice Location Address:
25 W MICHELTORENA 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:
93101-2509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-966-1600
Provider Business Practice Location Address Fax Number:
805-966-6700
Provider Enumeration Date:
07/23/2006