Provider First Line Business Practice Location Address:
2410 FLETCHER AVE
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-4828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-1912
Provider Business Practice Location Address Fax Number:
805-682-1844
Provider Enumeration Date:
09/18/2013