Individual
STACIA ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1500 MEREDITH AVE, GUSTINE, CA 95322-1701
(209) 854-3784
Mailing address
1500 MEREDITH AVE, GUSTINE, CA 95322-1701
(209) 854-3784
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95218217
CA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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