Provider First Line Business Practice Location Address:
2780 STATE STREET
Provider Second Line Business Practice Location Address:
SUITE 12
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-1411
Provider Business Practice Location Address Fax Number:
805-687-1429
Provider Enumeration Date:
10/01/2007