Provider First Line Business Practice Location Address:
955 LA PAZ 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:
93108-1099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-565-6164
Provider Business Practice Location Address Fax Number:
805-565-7098
Provider Enumeration Date:
06/28/2010