Provider First Line Business Practice Location Address:
944 CALLE ABIERTA
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:
93111-1125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-3757
Provider Business Practice Location Address Fax Number:
805-564-3332
Provider Enumeration Date:
10/17/2013