Provider First Line Business Practice Location Address:
4444 CALLE REAL STE P1
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:
93110-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-324-6152
Provider Business Practice Location Address Fax Number:
805-416-2350
Provider Enumeration Date:
04/29/2021