Provider First Line Business Practice Location Address:
4141 STATE ST STE E12
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:
93110-1854
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-603-4968
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2022