Provider First Line Business Practice Location Address:
827 STATE ST STE 2
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:
93101-3240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-690-5224
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2021