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Individual

JESSICA STANKIEWICZ LIGHTCAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, ACCNS-P

Contact information

Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3885
(510) 597-7194
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3885
(510) 597-7194

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN810614
CA
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
CNS4808
CA

Other

Enumeration date
08/04/2020
Last updated
08/04/2020
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