Provider First Line Business Practice Location Address:
302 N SOLEDAD 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:
93103-2643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-615-3234
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2024