Provider First Line Business Practice Location Address:
4280 CALLE REAL
Provider Second Line Business Practice Location Address:
SPACE 15
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110-1490
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-455-3728
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/17/2008