Provider First Line Business Practice Location Address:
2314 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:
93105-3560
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-705-9401
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2026