Individual
STACY L BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26284 OSO RD STE 114, SAN JUAN CAPISTRANO, CA 92675-1629
(949) 824-9557
Mailing address
28520 WOOD CANYON DR APT 125, ALISO VIEJO, CA 92656-5272
(949) 939-3446
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA3911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
CA
Enumeration date
01/09/2019
Last updated
01/09/2019
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