Individual
STEPHENEY MICHELLE BROSAMLE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 S WATNEY WAY, FAIRFIELD, CA 94533-6757
(707) 428-1131
Mailing address
3001 N TEXAS ST APT 93, FAIRFIELD, CA 94533-7323
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/05/2026
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