Individual
MS. STACEY PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
818 W 7TH ST STE 930, LOS ANGELES, CA 90017-3476
(646) 586-9908
Mailing address
2241 WANKEL WAY STE C, OXNARD, CA 93030-0191
(805) 983-0922
(805) 351-8217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12869
NC
363A00000X
Physician Assistant
028296
NY
363A00000X
Physician Assistant
11549
GA
363A00000X
Physician Assistant
4698
SC
363A00000X
Physician Assistant
53299
CA
363A00000X
Physician Assistant
9042
AZ
363A00000X
Physician Assistant
C08341
MD
363A00000X
Physician Assistant
PA.0007864
CO
363A00000X
Physician Assistant
PA100237
MA
363A00000X
Physician Assistant
PA17043
TX
363A00000X
Physician Assistant
PA61433652
WA
363AM0700X
Medical Physician Assistant
Primary
0110003132
VA
Other
Enumeration date
09/15/2009
Last updated
10/18/2024
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