Individual
STACEY ANNE PFANNENSTIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23408 NIGHTSKY RD, RAMONA, CA 92065-5924
(619) 402-4376
Mailing address
23408 NIGHTSKY RD, RAMONA, CA 92065-5924
(619) 402-4376
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3081759
DRIVER LICENSE
CA
Enumeration date
06/27/2023
Last updated
06/27/2023
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