Provider First Line Business Practice Location Address:
351 PASEO NUEVO
Provider Second Line Business Practice Location Address:
FL 2
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3382
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-697-0626
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2026