Individual
STACIE DORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7898 MISSION GROVE PKWY S STE 106, RIVERSIDE, CA 92508-5053
(951) 715-5040
Mailing address
7898 MISSION GROVE PKWY S STE 106, RIVERSIDE, CA 92508-5053
(951) 715-5040
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/26/2023
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