Provider First Line Business Practice Location Address:
621 CHAPALA ST FL 1
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:
93101-7009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-259-4692
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2024