Provider First Line Business Practice Location Address:
311 1/2 W PEDREGOSA ST APT C
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:
93101-5607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-388-9062
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2024