Provider First Line Business Practice Location Address:
1824 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:
93101-2420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-729-5480
Provider Business Practice Location Address Fax Number:
805-966-0101
Provider Enumeration Date:
02/22/2017