Provider First Line Business Practice Location Address:
26 W. MISSION
Provider Second Line Business Practice Location Address:
SUITE #5
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-212-2929
Provider Business Practice Location Address Fax Number:
805-969-9445
Provider Enumeration Date:
01/12/2006