Provider First Line Business Practice Location Address:
5290 OVERPASS RD
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-2042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-692-9749
Provider Business Practice Location Address Fax Number:
805-686-2074
Provider Enumeration Date:
09/13/2005