Provider First Line Business Practice Location Address:
3891 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3175
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-4455
Provider Business Practice Location Address Fax Number:
805-687-4407
Provider Enumeration Date:
08/24/2006