Individual
CECILY BOSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4151 FOOTHILL RD, SANTA BARBARA, CA 93110-1110
(805) 681-7564
(805) 681-7811
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1760
(805) 681-7811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18424
MEDICAL LICENSE
CA
Enumeration date
05/26/2006
Last updated
08/12/2022
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