Provider First Line Business Practice Location Address:
1801 BATH ST
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:
93101-2810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-884-8440
Provider Business Practice Location Address Fax Number:
805-884-8445
Provider Enumeration Date:
09/12/2019