Provider First Line Business Practice Location Address:
2320 CALLE REAL
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:
93105-4231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-568-7855
Provider Business Practice Location Address Fax Number:
805-687-5325
Provider Enumeration Date:
01/30/2007