Individual
LINDSEY MAYE STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16620 SAGEWOOD LN, POWAY, CA 92064-1408
(619) 253-1423
Mailing address
16620 SAGEWOOD LN, POWAY, CA 92064-1408
(619) 253-1423
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y6693800
DRIVER LICENSE
CA
Enumeration date
01/19/2024
Last updated
01/19/2024
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