Provider First Line Business Practice Location Address:
5266 HOLLISTER AVENUE
Provider Second Line Business Practice Location Address:
SUITE B209
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-6225
Provider Business Practice Location Address Fax Number:
805-681-6229
Provider Enumeration Date:
04/05/2007