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Individual
MRS. STACY TSE
Active
Individual
MRS. STACY TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95008899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95008899
NURSE PRACTITIONER
CA
Enumeration date
06/04/2018
Last updated
06/04/2018
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