Provider First Line Business Practice Location Address:
4129 STATE ST STE BDEF
Provider Second Line Business Practice Location Address:
SUITE B, D, E, F
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110-1848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-4795
Provider Business Practice Location Address Fax Number:
805-683-3027
Provider Enumeration Date:
12/28/2006