Provider First Line Business Practice Location Address:
1722 STATE ST
Provider Second Line Business Practice Location Address:
SUITE #202
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-898-2600
Provider Business Practice Location Address Fax Number:
805-898-2604
Provider Enumeration Date:
01/03/2014