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Individual

MRS. STACY SHANETTE SALJOUGHI

Active
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Individual

MRS. STACY SHANETTE SALJOUGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA IN KINESIOLOGY

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
3747A0650X
Attendant Care Provider
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
05/19/2023
Last updated
06/19/2025
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