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Individual

DENISE STADING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
8388
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750316741
FPACT, MEDI-CAL
CA
Enumeration date
07/02/2010
Last updated
07/02/2010
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