Provider First Line Business Practice Location Address:
4213 STATE ST STE 300
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:
93110-2847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-705-0614
Provider Business Practice Location Address Fax Number:
800-878-7161
Provider Enumeration Date:
09/28/2013