Provider First Line Business Practice Location Address:
1136 E MONTECITO 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:
93103-2635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-568-2099
Provider Business Practice Location Address Fax Number:
805-568-2039
Provider Enumeration Date:
07/03/2006