Provider First Line Business Practice Location Address:
5276 HOLLISTER AVENUE
Provider Second Line Business Practice Location Address:
SUITE 356
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-698-0696
Provider Business Practice Location Address Fax Number:
805-683-4964
Provider Enumeration Date:
12/13/2006