Provider First Line Business Practice Location Address:
319 ANACAPA 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:
93101-2351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-898-1907
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2023