Individual
DR. STACEY M LLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.V.M.
Contact information
Practice address
1946 SANTA ROSA AVE, SANTA ROSA, CA 95407-7621
(707) 542-4012
Mailing address
1946 SANTA ROSA AVE, SANTA ROSA, CA 95407-7621
(707) 542-4012
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
VET 15175
CA
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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