Provider First Line Business Practice Location Address:
312 EL GAUCHO RD
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:
93111-1908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-453-7487
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2019