Provider First Line Business Practice Location Address:
121 GRAY AVE STE 100
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:
93101-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-679-6750
Provider Business Practice Location Address Fax Number:
805-879-9014
Provider Enumeration Date:
01/09/2006