Individual
MRS. STACEY ANN SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCE, CD(DONA), CLE
Contact information
Practice address
4794 WINONA AVE, SAN DIEGO, CA 92115-2004
(619) 583-1129
(619) 583-1129
Mailing address
4794 WINONA AVE, SAN DIEGO, CA 92115-2004
(619) 583-1129
(619) 583-1129
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374J00000X
NURSING SERVICES RELATED PROVIDER
CA
Enumeration date
07/13/2010
Last updated
07/13/2010
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