Individual
DR. STACY ANN HENIGSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18111 BROOKHURST ST STE 5400, FOUNTAIN VALLEY, CA 92708-6728
(714) 968-4536
Mailing address
10650 REAGAN ST UNIT 1009, LOS ALAMITOS, CA 90720-8854
(714) 968-4536
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
20A8538
CA
Other
Enumeration date
01/17/2007
Last updated
09/21/2020
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