Provider First Line Business Practice Location Address:
3700 STATE ST STE 200
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:
93105-3192
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-7751
Provider Business Practice Location Address Fax Number:
805-563-2527
Provider Enumeration Date:
03/29/2019