Provider First Line Business Practice Location Address:
2780 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 9
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-5518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-5541
Provider Business Practice Location Address Fax Number:
805-687-4406
Provider Enumeration Date:
12/12/2006