Provider First Line Business Practice Location Address:
1625 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-7100
Provider Business Practice Location Address Fax Number:
805-569-7113
Provider Enumeration Date:
05/27/2007