Provider First Line Business Practice Location Address:
2701 FOOTHILL 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:
93105-2901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-5156
Provider Business Practice Location Address Fax Number:
805-563-0509
Provider Enumeration Date:
05/29/2008