Provider First Line Business Practice Location Address:
810 CHELTENHAM RD
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:
93105-2207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-371-0887
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/21/2026