Provider First Line Business Practice Location Address:
1187 COAST VILLAGE 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:
93108-2737
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-452-6224
Provider Business Practice Location Address Fax Number:
805-969-7814
Provider Enumeration Date:
10/03/2006