Provider First Line Business Practice Location Address:
1511 STATE 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:
93101-2513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-899-3600
Provider Business Practice Location Address Fax Number:
805-899-3605
Provider Enumeration Date:
04/15/2011