Provider First Line Business Practice Location Address:
330 SAN YSIDRO RD
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:
93108-2132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-259-6556
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/07/2024