Provider First Line Business Practice Location Address:
1532 STATE ST FL 2
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:
93101-6509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-323-9750
Provider Business Practice Location Address Fax Number:
805-244-0310
Provider Enumeration Date:
04/05/2010