Provider First Line Business Practice Location Address:
817 W PEDREGOSA 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:
93101-4634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-298-2483
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/21/2019