Provider First Line Business Practice Location Address:
923 OLIVE ST STE 1
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:
93101-1447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-3363
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2022