Provider First Line Business Practice Location Address:
5370 HOLLISTER AVENUE
Provider Second Line Business Practice Location Address:
SUITE F
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-967-0479
Provider Business Practice Location Address Fax Number:
805-967-8829
Provider Enumeration Date:
01/17/2007