Individual
CLAIRE ELIZABETH WISWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2320 BATH ST STE 205, SANTA BARBARA, CA 93105-5313
(805) 569-1164
(805) 569-1094
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15206
CA
Other
Enumeration date
11/03/2006
Last updated
04/27/2020
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