Provider First Line Business Practice Location Address:
621 CHAPALA ST STE C
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:
93101-7010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-377-3734
Provider Business Practice Location Address Fax Number:
805-335-6856
Provider Enumeration Date:
06/18/2021