Provider First Line Business Practice Location Address:
2020 ALAMEDA PADRE SERRA
Provider Second Line Business Practice Location Address:
SUITE 217
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-1756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-453-4826
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2011