Provider First Line Business Practice Location Address:
101 W ANAPAMU ST STE C
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:
93101-3140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-560-6995
Provider Business Practice Location Address Fax Number:
805-560-6994
Provider Enumeration Date:
02/16/2024