Provider First Line Business Practice Location Address:
2221 FOOTHILL LN
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:
93105-2314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-643-3559
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2022