Provider First Line Business Practice Location Address:
2403 CASTILLO ST STE 206
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:
93105-5316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-880-1231
Provider Business Practice Location Address Fax Number:
833-833-3450
Provider Enumeration Date:
01/26/2021