Individual
MS. STACEY SPEHALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
31720 TEMECULA PKWY STE 200, TEMECULA, CA 92592-5895
(951) 303-6900
(951) 303-2900
Mailing address
40680 WALSH CENTER DR APT 211, MURRIETA, CA 92562-8584
(484) 221-5105
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
54687
CA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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