Provider First Line Business Practice Location Address:
1 S MILPAS ST
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:
93103-3305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-0098
Provider Business Practice Location Address Fax Number:
888-751-5407
Provider Enumeration Date:
08/20/2020