Desjardins, Stacy A

Desjardins, Stacy A is an sole proprietor health care provider with primary practice located at 4000 Montgomery Dr Suite L-4, Santa Rosa CA 95405-5281. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Desjardins, Stacy A can be contacted via phone (707) 953-2811.

Contact Information

Primary practice address
4000 Montgomery Dr Suite L-4 Santa Rosa CA 95405-5281
Phone: (707) 953-2811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 14021 California

Profile Details

NPI number 1285912584
LBN Legal business name Desjardins, Stacy A
Credentials NMT, CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2011
Last updated Aug 3rd, 2011 - about 14 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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