Provider First Line Business Practice Location Address:
601 E MICHELTORENA ST UNIT 72
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:
93103-1999
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-705-5490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/21/2024