Provider First Line Business Practice Location Address:
101 W ARRELLAGA ST STE E
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:
93101-5948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-414-5170
Provider Business Practice Location Address Fax Number:
617-414-3803
Provider Enumeration Date:
11/18/2005