Provider First Line Business Practice Location Address:
1435 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:
93101-2511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-8188
Provider Business Practice Location Address Fax Number:
805-569-0221
Provider Enumeration Date:
08/31/2006