Provider First Line Business Practice Location Address:
515 E MICHELTORENA ST STE F
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:
93103-4229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/11/2021