Provider First Line Business Practice Location Address:
2020 ALAMEDA PADRE SERRA STE 123
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:
93103-1768
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-266-6426
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2015