Provider First Line Business Practice Location Address:
2323 DE LA VINA ST
Provider Second Line Business Practice Location Address:
SUITE # 207
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3877
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-1106
Provider Business Practice Location Address Fax Number:
805-687-5886
Provider Enumeration Date:
04/12/2007