Individual
STACEY AMBER FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2542 S BASCOM AVE, CAMPBELL, CA 95008-5526
(800) 913-2615
Mailing address
1000 SUNSET LN, SOQUEL, CA 95073-9542
(831) 588-2908
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027682
CA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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