Provider First Line Business Practice Location Address:
3463 STATE ST
Provider Second Line Business Practice Location Address:
275
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-2662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-331-1255
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2011