Provider First Line Business Practice Location Address:
5350 HOLLISTER AVE
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:
93111-2326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-967-3409
Provider Business Practice Location Address Fax Number:
805-967-3401
Provider Enumeration Date:
08/18/2005