Individual
STACIE BONN ROHRBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8910
Mailing address
410 BAY BERRY PL, ENCINITAS, CA 92024-7707
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
540984-13782
CA
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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