Provider First Line Business Practice Location Address:
230 W ALAMAR AVE APT 5
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:
93105-3747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-708-8355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/23/2022