Provider First Line Business Practice Location Address:
11 W. VICTORIA
Provider Second Line Business Practice Location Address:
STE 209
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:
805-568-5100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/24/2010