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Individual

STACY ANN ROSSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8929 UNIVERSITY CENTER LN, SUITE 205, SAN DIEGO, CA 92122-1006
(858) 657-0000
(858) 657-0003
Mailing address
8929 UNIVERSITY CENTER LN, SUITE 205, SAN DIEGO, CA 92122-1006
(858) 657-0000
(858) 657-0003

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 17674
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA 17674
LICENSE NUMBER
CA
Enumeration date
11/14/2006
Last updated
05/11/2011
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