Provider First Line Business Practice Location Address:
300 N SAN ANTONIO RD BLDG 3
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:
93110-1316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-5211
Provider Business Practice Location Address Fax Number:
805-681-5413
Provider Enumeration Date:
12/14/2009