Provider First Line Business Practice Location Address:
4430 HOLLISTER AVE
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:
93110-1708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-1004
Provider Business Practice Location Address Fax Number:
805-692-5199
Provider Enumeration Date:
12/22/2011