Provider First Line Business Practice Location Address:
2030 ALAMEDA PADRE SERRA
Provider Second Line Business Practice Location Address:
STE 123
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-1704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-682-5527
Provider Business Practice Location Address Fax Number:
805-617-1889
Provider Enumeration Date:
07/16/2014