Individual
KACEE M STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2000
Mailing address
103 STENNER ST APT A, SAN LUIS OBISPO, CA 93405-8808
(707) 704-9157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86098394
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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