Provider First Line Business Practice Location Address:
1815 STATE ST STE E
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:
93101-8408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-403-8973
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2016