Provider First Line Business Practice Location Address:
533 E MICHELTORENA ST STE 101
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:
93103-2260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-837-0665
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2022