Provider First Line Business Practice Location Address:
19 E MISSION ST STE A
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:
93101-2459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-271-6795
Provider Business Practice Location Address Fax Number:
805-271-6797
Provider Enumeration Date:
01/19/2007