Provider First Line Business Practice Location Address:
1498 EAST VALLEY RD
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:
93108-1241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-969-2284
Provider Business Practice Location Address Fax Number:
805-565-3174
Provider Enumeration Date:
12/01/2021