Provider First Line Business Practice Location Address:
27 E VICTORIA ST STE J
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:
93101-8743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-272-0825
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/03/2019