Provider First Line Business Practice Location Address:
1704 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:
93101-2522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-9942
Provider Business Practice Location Address Fax Number:
805-563-9493
Provider Enumeration Date:
03/26/2007