Individual
CATHRYN MARY STOFFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 363-5892
Mailing address
3904 KIEBER WAY, PLACERVILLE, CA 95667-6212
(530) 363-5892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
515286
CA
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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