Provider First Line Business Practice Location Address:
3905 STATE ST
Provider Second Line Business Practice Location Address:
264
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-451-0118
Provider Business Practice Location Address Fax Number:
805-563-9741
Provider Enumeration Date:
03/18/2008