Individual
STACY QUINTINA CABALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1911 OAK PARK BLVD, PLEASANT HILL, CA 94523-4601
(707) 704-7342
Mailing address
3199 GARRITY WAY APT 928, RICHMOND, CA 94806-5841
(707) 704-7342
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48232
CA
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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