Individual
STACY MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
3100 ACTIS RD, BAKERSFIELD, CA 93309-5911
(661) 831-8331
(661) 831-8256
Mailing address
3100 ACTIS RD, BAKERSFIELD, CA 93309-5911
(661) 831-8331
(661) 831-8256
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
525796
CA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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