Provider First Line Business Practice Location Address:
1170 CAMINO MELENO
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:
93111-1005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-455-1722
Provider Business Practice Location Address Fax Number:
805-692-6738
Provider Enumeration Date:
08/05/2026