MARY SIDAVANH

SANTA BARBARA, CA
NPI1881588333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95034579)
Enumeration Date2025-06-06
Last Update Date2025-06-06
Business Address
MARY SIDAVANH NP
1125 COAST VILLAGE RD
SANTA BARBARA, CA 93108-2716
Phone number: 805-364-2814
Mailing Address
MARY SIDAVANH NP
1125 COAST VILLAGE RD
SANTA BARBARA, CA 93108-2716
Phone number: 805-364-2814
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