Provider First Line Business Practice Location Address:
1213 STATE ST STE K
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:
93101-2689
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-694-1645
Provider Business Practice Location Address Fax Number:
805-653-5761
Provider Enumeration Date:
09/23/2024