Individual
MRS. TAMARA MARIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W PUEBLO ST, SANTA BARBARA, CA 93105
(805) 898-3050
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-7800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A150443
CA
207N00000X
Dermatology Physician
MD457359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A150443
MEDICAL LICENSE
CA
Enumeration date
04/05/2012
Last updated
06/04/2019
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