Provider First Line Business Practice Location Address:
2796 FOOTHILL 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:
93105-2902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-4502
Provider Business Practice Location Address Fax Number:
805-617-3233
Provider Enumeration Date:
06/19/2009