Provider First Line Business Practice Location Address:
300 N SAN ANTONIO RD
Provider Second Line Business Practice Location Address:
BLDG 1
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110-1316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-614-1566
Provider Business Practice Location Address Fax Number:
805-614-1571
Provider Enumeration Date:
01/26/2009