Provider First Line Business Practice Location Address:
1331 SANTA BARBARA ST APT 3
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:
93101-6081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-757-2462
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2026