Provider First Line Business Practice Location Address:
4433 MEADOWLARK LN
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:
93105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-886-8021
Provider Business Practice Location Address Fax Number:
805-687-1482
Provider Enumeration Date:
08/02/2005