Provider First Line Business Practice Location Address:
4200 CALLE REAL
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:
93110-1454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-683-6381
Provider Business Practice Location Address Fax Number:
805-967-7508
Provider Enumeration Date:
06/14/2023