Provider First Line Business Practice Location Address:
1149 SAN ANTONIO CREEK 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:
93111-1311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-220-0825
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/20/2023