Provider First Line Business Practice Location Address:
1015 ORILLA DEL MAR DR
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-848-0266
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2026