Provider First Line Business Practice Location Address:
3010 STATE ST
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:
93105-3304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-7508
Provider Business Practice Location Address Fax Number:
805-687-6251
Provider Enumeration Date:
12/09/2013