Individual
STACEY AMBER GERBRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27879 SMYTH DR, VALENCIA, CA 91355-4011
(661) 259-2500
Mailing address
27879 SMYTH DR, VALENCIA, CA 91355-4011
(661) 259-2500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20424
CA
363AS0400X
Surgical Physician Assistant
PA20424
CA
Other
Enumeration date
07/28/2009
Last updated
08/11/2020
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