Provider First Line Business Practice Location Address:
4444 CALLE REAL
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-5190
Provider Business Practice Location Address Fax Number:
805-681-5239
Provider Enumeration Date:
03/16/2017