Individual
STACEY RENEA BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1801 TOWN AND COUNTRY DR UNIT 861, NORCO, CA 92860-8143
(951) 268-9008
(951) 268-9922
Mailing address
1801 TOWN AND COUNTRY DR UNIT 861, NORCO, CA 92860-8143
(951) 268-9008
(951) 268-9922
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
LM620
CA
374J00000X
Doula
—
—
Other
Enumeration date
09/11/2019
Last updated
07/01/2025
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