Provider First Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA SANTA BARBARA
Provider Second Line Business Practice Location Address:
DEPARTMENT OF INTERCOLLEGIATE ATHLETICS, ICA BUILDING
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93106-5200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-893-3424
Provider Business Practice Location Address Fax Number:
805-893-5420
Provider Enumeration Date:
05/17/2007