Provider First Line Business Practice Location Address:
2780 STATE ST STE 2
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:
93105-5516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-491-6972
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2023