Individual
STACI SCIANABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7000
Mailing address
4215 N DRINKWATER BLVD, APT 276, SCOTTSDALE, AZ 85251-3930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4196439
AZ
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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