Provider First Line Business Practice Location Address:
7266 ALAMEDA AVE
Provider Second Line Business Practice Location Address:
DOS PUEBLOS HIGH SCHOOL
Provider Business Practice Location Address City Name:
GOLETA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93117-1351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-968-2541
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007