Provider First Line Business Practice Location Address:
4151 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:
93110-1110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-7761
Provider Business Practice Location Address Fax Number:
805-681-1768
Provider Enumeration Date:
03/28/2014