Provider First Line Business Practice Location Address:
915 N MILPAS 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:
93103-2331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-617-7850
Provider Business Practice Location Address Fax Number:
805-963-8880
Provider Enumeration Date:
04/04/2019