Individual
DR. STACI MARAZONI PACIOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12840 RIVERSIDE DR, SUITE 201, VALLEY VILLAGE, CA 91607-3327
(818) 905-3313
Mailing address
12840 RIVERSIDE DR, SUITE 201, VALLEY VILLAGE, CA 91607-3327
(818) 905-3313
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
19528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC019528
BLUE SHIELD
CA
Enumeration date
11/30/2006
Last updated
06/15/2017
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