Provider First Line Business Practice Location Address:
2320 BATH ST
Provider Second Line Business Practice Location Address:
SUITE 317
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-4339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-7874
Provider Business Practice Location Address Fax Number:
805-682-7875
Provider Enumeration Date:
02/14/2006