Individual
CLAUDIA STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 550-5869
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 550-5869
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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