Individual
STACEY MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 E GILBERT ST, COTTAGE 4, SAN BERNARDINO, CA 92415-0911
(909) 387-7405
Mailing address
900 E GILBERT ST, COTTAGE 4, SAN BERNARDINO, CA 92415-0911
(909) 387-7405
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
706119
CA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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