Provider First Line Business Practice Location Address:
115 S LA CUMBRE RD # 200
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:
93105-3109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-218-3459
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2022