Provider First Line Business Practice Location Address:
629 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 203C
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-7069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-705-1656
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2006