Individual
MS. JENNA LYNNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2958 STATE STREET, SANTA BARBARA, CA 93105
(805) 705-5571
Mailing address
2958 STATE STREET, SANTA BARBARA, CA 93105
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CALM 392
CA
Other
Enumeration date
06/24/2014
Last updated
07/25/2019
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