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Individual

STACEY LEE HEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2801 EUREKA WAY, REDDING, CA 96001-0222
(530) 246-9000
Mailing address
200 RIDGETOP DR APT 40, REDDING, CA 96003-3282
(530) 209-5617

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1637
CA

Other

Enumeration date
06/05/2024
Last updated
06/05/2024
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