Provider First Line Business Practice Location Address:
2040 ALAMEDA PADRE SERRA STE 109
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:
93103-1760
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-2336
Provider Business Practice Location Address Fax Number:
805-965-2666
Provider Enumeration Date:
05/18/2007