Provider First Line Business Practice Location Address:
EL COLEGIO BLDG 588
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:
93106-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-893-4794
Provider Business Practice Location Address Fax Number:
805-893-3861
Provider Enumeration Date:
10/18/2006