Provider First Line Business Practice Location Address:
735 STATE ST STE 104
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:
93101-5502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-455-2804
Provider Business Practice Location Address Fax Number:
805-764-8639
Provider Enumeration Date:
08/31/2012