Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | G65372 | CA |
NPI | 1144239567 |
---|---|
Provider Name | Jessica A Cohen-Brown |
First Address | Santa Barbara, CA 93160-2106 |
Second Address | Santa Barbara, CA 93110-1416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 26/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E64310 | (02) |