Provider First Line Business Practice Location Address:
625 STATE ST STE 230
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:
93101-3301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-951-8577
Provider Business Practice Location Address Fax Number:
805-410-9584
Provider Enumeration Date:
07/25/2024