Provider First Line Business Practice Location Address:
1717 SAN MARCOS PASS 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:
93105-9713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-7014
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2006