Provider First Line Business Practice Location Address:
115 S LA CUMBRE LN
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-5102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-319-7517
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2011