Provider First Line Business Practice Location Address:
6100 WALLACE BECKNELL 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:
93117-3265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-335-8990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2017