Provider First Line Business Practice Location Address:
219 NOGALES ST.
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-1342
Provider Business Practice Location Address Fax Number:
805-682-0344
Provider Enumeration Date:
09/05/2006