Provider First Line Business Practice Location Address:
1129 STATE STREET
Provider Second Line Business Practice Location Address:
SUITE 3-G
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-6752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-9508
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2010