Provider First Line Business Practice Location Address:
3916 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:
93105-5602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-564-5097
Provider Business Practice Location Address Fax Number:
323-932-5356
Provider Enumeration Date:
06/14/2006