Individual
STACEY ELLEN SAENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0581
(541) 574-6252
Mailing address
4486 S GLENMERE WAY, MERIDIAN, ID 83642-9217
(541) 265-0581
(541) 574-6252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201603837RN
OR
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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