Provider First Line Business Practice Location Address:
1187 COAST VILLAGE RD STE 8
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:
93108-2762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-565-5670
Provider Business Practice Location Address Fax Number:
805-565-5690
Provider Enumeration Date:
12/03/2008