Healthcare Provider Details

I. General information

NPI: 1336436864
Provider Name (Legal Business Name): MRS. JAMIE MICHELE HUTCHCRAFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 07/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1399
US

IV. Provider business mailing address

429 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1399
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-5209
  • Fax:
Mailing address:
  • Phone: 805-681-5209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: