Provider First Line Business Practice Location Address:
515 E MICHELTORENA ST STE D
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:
93103-4224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-837-1617
Provider Business Practice Location Address Fax Number:
805-243-0316
Provider Enumeration Date:
07/19/2018