Individual
STACY MICHELE GIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1352 LONGFELLOW CIR, ROSEVILLE, CA 95747-6891
(707) 696-9346
Mailing address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5000
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
29738
CA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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