Provider First Line Business Practice Location Address:
101 VIA TUSA
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:
93105-1900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-994-2783
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2025