Provider First Line Business Practice Location Address:
1 OCEANO AVE
Provider Second Line Business Practice Location Address:
ICA BUILDING UCSB
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93109-2214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-893-3424
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2006