Provider First Line Business Practice Location Address:
827 STATE ST STE 13
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:
93101-3240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-588-4872
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/15/2026