Provider First Line Business Practice Location Address:
130 W DE LA GUERRA 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:
93101-3226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-280-8654
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2023