Provider First Line Business Practice Location Address:
2780 STATE STREET
Provider Second Line Business Practice Location Address:
SUITE #4
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-5518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-5561
Provider Business Practice Location Address Fax Number:
805-687-0810
Provider Enumeration Date:
08/08/2007