Provider First Line Business Practice Location Address:
629 STATE ST STE 213
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:
93101-7002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-218-5905
Provider Business Practice Location Address Fax Number:
760-290-7208
Provider Enumeration Date:
09/02/2014