Provider First Line Business Practice Location Address:
629 STATE ST
Provider Second Line Business Practice Location Address:
STE 203
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-7071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-0266
Provider Business Practice Location Address Fax Number:
805-898-9610
Provider Enumeration Date:
03/11/2011