Provider First Line Business Practice Location Address:
1805 EAST CABRILLO BLVD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93108-2884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-565-5111
Provider Business Practice Location Address Fax Number:
805-565-5106
Provider Enumeration Date:
03/22/2007