Provider First Line Business Practice Location Address:
107 E MICHELTORENA 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:
93101-1905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-3434
Provider Business Practice Location Address Fax Number:
805-965-3797
Provider Enumeration Date:
10/04/2017