Provider First Line Business Practice Location Address:
686 EL RANCHO 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:
93108-1842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-969-5500
Provider Business Practice Location Address Fax Number:
805-969-6130
Provider Enumeration Date:
11/16/2005