Provider First Line Business Practice Location Address:
1018 GARDEN ST
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-1466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-450-6365
Provider Business Practice Location Address Fax Number:
805-617-1700
Provider Enumeration Date:
10/03/2006