Individual
STACI E DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165296
L&I
WA
05
—
8331654
—
WA
Enumeration date
07/05/2006
Last updated
08/27/2013
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