Provider First Line Business Practice Location Address:
2131 MODOC RD
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:
93101-3934
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-242-2175
Provider Business Practice Location Address Fax Number:
805-830-1671
Provider Enumeration Date:
07/08/2020