Provider First Line Business Practice Location Address:
1211 COAST VILLAGE RD STE 5
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:
93108-2745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-628-4547
Provider Business Practice Location Address Fax Number:
805-285-7508
Provider Enumeration Date:
03/11/2022