Provider First Line Business Practice Location Address:
1515 STATE STREET
Provider Second Line Business Practice Location Address:
SUITE 5
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-403-7225
Provider Business Practice Location Address Fax Number:
805-965-1752
Provider Enumeration Date:
12/31/2013