Provider First Line Business Practice Location Address:
5421 BERKELEY RD
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:
93111-1613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-845-1608
Provider Business Practice Location Address Fax Number:
805-845-1609
Provider Enumeration Date:
11/15/2011