Provider First Line Business Practice Location Address:
1221 STATE ST
Provider Second Line Business Practice Location Address:
204
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-1988
Provider Business Practice Location Address Fax Number:
805-962-1989
Provider Enumeration Date:
01/27/2014