Provider First Line Business Practice Location Address:
2060 ALAMEDA PADRE SERRA
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-1713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-1500
Provider Business Practice Location Address Fax Number:
805-565-7980
Provider Enumeration Date:
04/04/2007