Provider First Line Business Practice Location Address:
608 ANACAPA ST STE A
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:
93101-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-290-0321
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2026