Provider First Line Business Practice Location Address:
4020 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:
93110-4052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-1051
Provider Business Practice Location Address Fax Number:
805-563-1046
Provider Enumeration Date:
06/14/2023