Provider First Line Business Practice Location Address:
515 E MICHELTORENA 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:
93103-4223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-3234
Provider Business Practice Location Address Fax Number:
805-563-3130
Provider Enumeration Date:
07/01/2016