Provider First Line Business Practice Location Address:
211 E ANAPAMU 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:
93101-2005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-351-0977
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2023