Individual
AVERY WILMANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110-1416
(805) 681-1761
(805) 681-1768
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1761
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A55453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A554530
—
CA
Enumeration date
08/14/2006
Last updated
05/22/2008
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