Provider First Line Business Practice Location Address:
189 HERMOSILLO 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:
93108-2414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-319-6697
Provider Business Practice Location Address Fax Number:
866-322-4573
Provider Enumeration Date:
02/13/2009