Provider First Line Business Practice Location Address:
1919 STATE STREET
Provider Second Line Business Practice Location Address:
#302
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-8450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-9814
Provider Business Practice Location Address Fax Number:
805-563-9838
Provider Enumeration Date:
04/17/2007