Individual
MRS. STACI MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
2521 STOCKTON BLVD, SACRAMENTO, CA 95817-2207
(916) 734-2250
(916) 734-4098
Mailing address
2516 STOCKTON BLVD # 238, SACRAMENTO, CA 95817-2208
(916) 734-2250
(916) 734-4098
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
RN483387
CA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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