Individual
STACEY DEE KUPPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
4315 1/2 W RIVERSIDE DR, BURBANK, CA 91505-4044
(310) 310-9717
(310) 496-1779
Mailing address
8023 BEVERLY BLVD STE 1-532, LOS ANGELES, CA 90048-4539
(310) 310-9717
(310) 496-1779
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
24-1855
AZ
175F00000X
Naturopath
6784269-7101
UT
175F00000X
Naturopath
Primary
ND-342
CA
Other
Enumeration date
01/25/2008
Last updated
10/01/2025
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