Provider First Line Business Practice Location Address:
122 S PATTERSON AVE BLDG A
Provider Second Line Business Practice Location Address:
STE #212
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-2055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-5858
Provider Business Practice Location Address Fax Number:
805-964-6756
Provider Enumeration Date:
07/13/2007