Provider First Line Business Practice Location Address:
629 STATE ST
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-7069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-618-8853
Provider Business Practice Location Address Fax Number:
805-688-4058
Provider Enumeration Date:
11/09/2006