Provider First Line Business Practice Location Address:
1525 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-0161
Provider Business Practice Location Address Fax Number:
805-962-0418
Provider Enumeration Date:
05/23/2007