Individual
ROSA M. STASAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
936 PINE AVE, LONG BEACH, CA 90813-4326
(562) 491-9292
(562) 495-1878
Mailing address
936 PINE AVE, LONG BEACH, CA 90813-4326
(562) 491-9292
(562) 495-1878
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
395672
CA
Other
Enumeration date
09/17/2006
Last updated
11/21/2017
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