Provider First Line Business Practice Location Address:
5266 HOLLISTER AVE STE 235
Provider Second Line Business Practice Location Address:
SUITE #235
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-3046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-967-5266
Provider Business Practice Location Address Fax Number:
866-590-2181
Provider Enumeration Date:
07/29/2005