Provider First Line Business Practice Location Address:
26 W MISSION ST STE 4
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:
93101-2432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-699-1145
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/17/2018