Provider First Line Business Practice Location Address:
223 W CANON PERDIDO ST
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:
93101-3706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-452-4376
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/01/2006