Provider First Line Business Practice Location Address:
3887 STATE ST
Provider Second Line Business Practice Location Address:
10
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-8780
Provider Business Practice Location Address Fax Number:
805-682-3035
Provider Enumeration Date:
02/16/2007