Provider First Line Business Practice Location Address:
1509 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:
93101-2513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-979-1479
Provider Business Practice Location Address Fax Number:
805-912-9695
Provider Enumeration Date:
09/20/2007