Provider First Line Business Practice Location Address:
1704 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:
93101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-0912
Provider Business Practice Location Address Fax Number:
805-563-4629
Provider Enumeration Date:
04/27/2006