Provider First Line Business Practice Location Address:
2320 BATH STREET
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-5322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-7984
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2006