Provider First Line Business Practice Location Address:
111 E VICTORIA ST FL 3
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:
93101-2018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-0041
Provider Business Practice Location Address Fax Number:
805-563-0051
Provider Enumeration Date:
10/10/2024