Provider First Line Business Practice Location Address:
126 E HALEY ST STE A4
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:
93101-2380
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-364-2790
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2024