Provider First Line Business Practice Location Address:
1515 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 18
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-5934
Provider Business Practice Location Address Fax Number:
805-966-9808
Provider Enumeration Date:
01/23/2007