Provider First Line Business Practice Location Address:
345 CAMINO DEL REMEDIO
Provider Second Line Business Practice Location Address:
BLDG 4 LEVEL 2
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110-1332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-5300
Provider Business Practice Location Address Fax Number:
805-681-5430
Provider Enumeration Date:
09/29/2006