Provider First Line Business Practice Location Address:
1129 STATE ST
Provider Second Line Business Practice Location Address:
#32
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-969-3001
Provider Business Practice Location Address Fax Number:
805-969-3001
Provider Enumeration Date:
09/25/2005