Provider First Line Business Practice Location Address:
258 SAN JULIAN AVE
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:
93109-2040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-452-1099
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2019