Individual
SUZI STEFANAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 31ST AVE, SAN MATEO, CA 94403-3311
(650) 312-8721
Mailing address
306 31ST AVE, SAN MATEO, CA 94403-3311
(650) 307-5110
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
07/13/2022
Last updated
08/31/2022
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