Provider First Line Business Practice Location Address:
1722 STATE ST STE 103
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:
93101-2526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-884-4900
Provider Business Practice Location Address Fax Number:
805-456-8118
Provider Enumeration Date:
07/05/2019