Provider First Line Business Practice Location Address:
301 W PUEBLO ST
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:
93105-4310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-898-3400
Provider Business Practice Location Address Fax Number:
805-898-3420
Provider Enumeration Date:
09/14/2010