Provider First Line Business Practice Location Address:
200 N LA CUMBRE RD STE H
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:
93110-2592
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
222-980-5834
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2023