Provider First Line Business Practice Location Address:
112 SANTA AVE AVENUE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-967-1461
Provider Business Practice Location Address Fax Number:
805-969-6473
Provider Enumeration Date:
04/27/2009