Individual
STACE PHIPPS-ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(818) 364-4463
Mailing address
28939 MIRADA CIRCULO, VALENCIA, CA 91354-1589
(661) 775-3761
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
489256
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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