Provider First Line Business Practice Location Address:
825 STATE ST
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:
93101-3206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-966-2760
Provider Business Practice Location Address Fax Number:
805-966-0967
Provider Enumeration Date:
09/01/2010