Provider First Line Business Practice Location Address:
203 W VALERIO 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:
93101-2929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-477-1588
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2024