Provider First Line Business Practice Location Address:
5290 OVERPASS ROAD
Provider Second Line Business Practice Location Address:
SUITE 231
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-2050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-967-6241
Provider Business Practice Location Address Fax Number:
805-967-6147
Provider Enumeration Date:
06/11/2021