Provider First Line Business Practice Location Address: 
923 N MILPAS 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: 
93103-2331
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
805-884-1998
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/11/2024