Provider First Line Business Practice Location Address:
SHS BLDG 588
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:
93106-2715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-969-4728
Provider Business Practice Location Address Fax Number:
805-969-2069
Provider Enumeration Date:
10/25/2010