Provider First Line Business Practice Location Address:
1470 EAST VALLEY ROAD
Provider Second Line Business Practice Location Address:
SUITE M
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-565-5252
Provider Business Practice Location Address Fax Number:
805-565-5250
Provider Enumeration Date:
01/24/2007