Provider First Line Business Practice Location Address:
1111 GARDEN 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:
93101-1459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-456-1237
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2023