Provider First Line Business Practice Location Address:
2415 BATH ST STE 200
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:
93105-4324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-7001
Provider Business Practice Location Address Fax Number:
805-352-2701
Provider Enumeration Date:
04/23/2014