Provider First Line Business Practice Location Address:
827 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 26
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-1979
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/05/2007