Provider Demographics
NPI:1316211055
Name:ROBINSON STEVENS, MINKA MARTYN (LAC)
Entity type:Individual
Prefix:
First Name:MINKA
Middle Name:MARTYN
Last Name:ROBINSON STEVENS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:MINKA
Other - Middle Name:MARTYN
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:356 E MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-1030
Mailing Address - Country:US
Mailing Address - Phone:805-708-8779
Mailing Address - Fax:
Practice Address - Street 1:1805 E CABRILLO BLVD
Practice Address - Street 2:STE E
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-2884
Practice Address - Country:US
Practice Address - Phone:805-687-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14489171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist