Provider First Line Business Practice Location Address:
3324 STATE ST
Provider Second Line Business Practice Location Address:
STE H
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-2665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-6124
Provider Business Practice Location Address Fax Number:
805-898-9982
Provider Enumeration Date:
06/14/2007