Provider First Line Business Practice Location Address:
4546 CAMINO MOLINERO
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:
93110-1015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-636-2223
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2023