Provider First Line Business Practice Location Address:
4213 STATE ST STE 202
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:
93110-2852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-540-0529
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2020