Provider First Line Business Practice Location Address:
1805 E CABRILLO BLVD STE E
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:
93108-2884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-966-4706
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/09/2020