Provider First Line Business Practice Location Address:
4500 HOLLISTER AVE
Provider Second Line Business Practice Location Address:
OUTSIDE PORTABLE ARRC ROOM
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110-1710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-5330
Provider Business Practice Location Address Fax Number:
805-681-4747
Provider Enumeration Date:
12/07/2016