Individual
STACEY MCCANN HOFFMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
684739
CA
163WM0705X
Medical-Surgical Registered Nurse
684739
CA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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