Individual
MARIA FISHER WALLIS MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
STUDENT HEALTH SERVICE, UNIVERSITY OF CALIFORNIA, SANTA BARBARA, CA 93106-7002
(805) 893-2914
Mailing address
4326 MODOC ROAD, UNIT C, SANTA BARBARA, CA 93110-1846
(805) 683-6123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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