Provider First Line Business Practice Location Address:
1805 STATE ST
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-8415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-1795
Provider Business Practice Location Address Fax Number:
805-569-1469
Provider Enumeration Date:
11/24/2008