Provider First Line Business Practice Location Address:
491 APPLE GROVE LN
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:
93105-4009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-364-1226
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2025