Provider First Line Business Practice Location Address:
655 DEL PARQUE UNIT D
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:
93103-5730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-560-9070
Provider Business Practice Location Address Fax Number:
805-564-2339
Provider Enumeration Date:
03/17/2013