Provider First Line Business Practice Location Address:
1722 STATE ST
Provider Second Line Business Practice Location Address:
STE 103
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-884-4900
Provider Business Practice Location Address Fax Number:
805-884-4900
Provider Enumeration Date:
03/21/2006