Provider First Line Business Practice Location Address:
5370 HOLLISTER AVE
Provider Second Line Business Practice Location Address:
STE I
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-2399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-9839
Provider Business Practice Location Address Fax Number:
805-683-9589
Provider Enumeration Date:
02/12/2007