Provider First Line Business Practice Location Address:
429 N SAN ANTONIO 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:
93110-1399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-729-1341
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2020