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Individual

SHARON LEITZEL WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
955 LA PAZ RD, SANTA BARBARA, CA 93108-1023
(805) 565-6164
Mailing address
414 E COTA ST FL 1, SANTA BARBARA, CA 93101-1624
(805) 617-7850
(805) 963-8880

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95000838
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
448756
CA

Other

Enumeration date
07/22/2014
Last updated
05/07/2019
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