Individual
MRS. STACEY ALLISON DE LA CUBA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, MPH, RD
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5587 NOEL DR, TEMPLE CITY, CA 91780-2318
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
917764
CA
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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