Provider First Line Business Practice Location Address:
2320 BATH ST STE 303
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:
93105-4384
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-7385
Provider Business Practice Location Address Fax Number:
805-569-3891
Provider Enumeration Date:
04/26/2018