Provider First Line Business Practice Location Address:
4025 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:
93110-1209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-967-4506
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2007