Individual
STACY MARIE YADAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1617 N CALIFORNIA ST STE 2D, STOCKTON, CA 95204
(209) 933-9888
Mailing address
PO BOX 967, LODI, CA 95241-0967
(209) 334-1800
(209) 334-2416
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A128209
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A128209
CA
Other
Enumeration date
05/03/2012
Last updated
09/26/2023
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