Individual
WEDNESDAY BIENUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
DEPARTMENT OF INTERCOLLEGIATE ATHLETICS, UC SANTA BARBARA, ICA BUILDING, SANTA BARBARA, CA 93106-5200
(805) 319-1424
Mailing address
319 SYLVAN DR, GOLETA, CA 93117-2108
(530) 417-4481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
02/20/2019
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