Provider First Line Business Practice Location Address:
1129 STATE ST STE 3F
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:
93101-6735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-636-6522
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/27/2013