Provider First Line Business Practice Location Address:
1375 KENWOOD 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:
93109-1222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-909-4008
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2023