Provider First Line Business Practice Location Address:
1805 E CABRILLO BLVD
Provider Second Line Business Practice Location Address:
STE E
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93108-2884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-7775
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2012