Provider First Line Business Practice Location Address:
521 W VICTORIA 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:
93101-4256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-4458
Provider Business Practice Location Address Fax Number:
805-965-6214
Provider Enumeration Date:
05/14/2020