Derosa, Stacy Marie
Derosa, Stacy Marie is an individual health care provider with primary practice located at 2100 Webster St Suite 100, San Francisco CA 94115-2373. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Derosa, Stacy Marie can be contacted via phone (415) 923-3154.Contact Information
Primary practice address
2100 Webster St Suite 100
San Francisco CA 94115-2373
Phone: (415) 923-3154
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 1018194 | California |
Profile Details
NPI number | 1992135933 |
---|---|
LBN Legal business name | Derosa, Stacy Marie |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 12th, 2013 |
Last updated | Mar 22nd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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