Provider First Line Business Practice Location Address:
1433 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:
805-898-2530
Provider Business Practice Location Address Fax Number:
805-898-2531
Provider Enumeration Date:
01/19/2011