Provider First Line Business Practice Location Address:
4141 STATE ST
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:
93110-1814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-696-1002
Provider Business Practice Location Address Fax Number:
805-696-1003
Provider Enumeration Date:
07/08/2013