Provider First Line Business Practice Location Address:
2958 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:
93105-3418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-450-0917
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2012