Provider First Line Business Practice Location Address:
552 UNIVERSITY RD # MS 7002
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:
93106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-893-3170
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/18/2005