Individual
STACEY STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16957 W SUNSET BLVD, PACIFIC PALISADES, CA 90272-3208
(310) 306-6540
Mailing address
16957 W SUNSET BLVD, PACIFIC PALISADES, CA 90272-3208
(310) 306-6540
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
5317
CA
Other
Enumeration date
06/01/2007
Last updated
10/03/2011
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