Provider First Line Business Practice Location Address:
1919 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2430
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-0088
Provider Business Practice Location Address Fax Number:
805-687-9988
Provider Enumeration Date:
09/12/2009