Provider First Line Business Practice Location Address:
227 LAS ALTURAS RD
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:
93103-2104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-3684
Provider Business Practice Location Address Fax Number:
805-965-8253
Provider Enumeration Date:
01/25/2012