Individual
STACI ANN MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1559 BEACON RIDGE WAY, CORONA, CA 92883-0726
(714) 401-9286
Mailing address
1559 BEACON RIDGE WAY, CORONA, CA 92883-0726
(714) 401-9286
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
488844
CA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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