Individual
RITA A STOUFFLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, MPH, PA-C
Contact information
Practice address
6555 COYLE AVE STE 180, CARMICHAEL, CA 95608-0303
(916) 536-2408
(916) 536-2465
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT3112
TX
363AM0700X
Medical Physician Assistant
Primary
53693
CA
Other
Enumeration date
03/19/2007
Last updated
01/31/2024
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