Provider First Line Business Practice Location Address:
1819 STATE ST STE A
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:
93101-2481
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-327-6673
Provider Business Practice Location Address Fax Number:
707-343-9501
Provider Enumeration Date:
10/02/2019