Provider First Line Business Practice Location Address:
6 N ALISOS ST
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:
93103-3413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-236-9328
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2025