Provider First Line Business Practice Location Address:
504 W PUEBLO ST STE 207
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:
93105-6211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-392-2942
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2016