Provider First Line Business Practice Location Address:
1525 STATE ST STE 103
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:
93101-6510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-884-1874
Provider Business Practice Location Address Fax Number:
805-884-8757
Provider Enumeration Date:
02/15/2016