Provider First Line Business Practice Location Address:
1201 HIGH RIDGE LN
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:
93103-2050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-617-0049
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2013