Provider First Line Business Practice Location Address:
1801 STATE ST
Provider Second Line Business Practice Location Address:
#A
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-4508
Provider Business Practice Location Address Fax Number:
805-687-5879
Provider Enumeration Date:
01/12/2016