Provider First Line Business Practice Location Address:
1625 STATE ST
Provider Second Line Business Practice Location Address:
STE 2
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:
805-569-2001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2007