Provider First Line Business Practice Location Address:
1900 STATE ST
Provider Second Line Business Practice Location Address:
SUITE K
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-450-5805
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2017