Organization
CANCER CARE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN STAHL (OFFICE MANAGER)
(530) 244-2223
Entity
Organization
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2509
(530) 244-2223
(530) 244-4799
Mailing address
PO BOX 993100, REDDING, CA 96099-3100
(530) 244-2223
(530) 244-4799
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0054240
—
CA
Enumeration date
08/09/2005
Last updated
11/14/2008
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