Individual
MRS. STACEY MARGARET MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
197 E HILLCREST DR, AUBURN, CA 95603-3104
(530) 368-1970
(530) 668-8528
Mailing address
197 EAST HIICREST DRIVE, AUBURN, CA 95603
(530) 368-1970
(530) 668-8528
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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