Individual
MRS. STACEY WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5817 TEMPLE CITY BLVD, TEMPLE CITY, CA 91780-2113
(626) 282-1254
(626) 292-1549
Mailing address
5817 TEMPLE CITY BLVD, TEMPLE CITY, CA 91780-2113
(626) 282-1254
(626) 292-1549
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95009042
CA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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