Individual
STACEY LYNN CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 N MAIN ST, ALTURAS, CA 96101-3457
(530) 233-6312
(530) 233-6339
Mailing address
441 N MAIN ST, ALTURAS, CA 96101-3457
(530) 233-6312
(530) 233-6339
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-LHBTEV
CA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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