Individual
MRS. JAMIE LYN STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A., MPA
Contact information
Practice address
260 INTERNATIONAL CIR, ORTHOPAEDIC DEPARTMENT, SAN JOSE, CA 95119-1130
(408) 363-4531
Mailing address
41 GRANDVIEW ST, #107, SANTA CRUZ, CA 95060-3000
(831) 426-2766
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
18352
CA
Other
Enumeration date
01/22/2007
Last updated
01/03/2022
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