Individual
STEFFANY CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2176 GREENCREST DR, EL CAJON, CA 92019-4105
(619) 504-9749
Mailing address
2176 GREENCREST DR, EL CAJON, CA 92019-4105
(619) 504-9749
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
737337
CA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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