Provider First Line Business Practice Location Address:
1515 STATE ST
Provider Second Line Business Practice Location Address:
SUITE # 12
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-3678
Provider Business Practice Location Address Fax Number:
805-965-8818
Provider Enumeration Date:
07/16/2007