Difazio, Staci Ann
Difazio, Staci Ann is an individual health care provider with primary practice located at 14445 Olive View Dr , Sylmar CA 91342-1437. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Difazio, Staci Ann can be contacted via phone (747) 210-4343.Contact Information
Primary practice address
14445 Olive View Dr
Sylmar CA 91342-1437
Phone: (747) 210-4343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 808709 | California |
Profile Details
| NPI number | 1598307852 |
|---|---|
| LBN Legal business name | Difazio, Staci Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2019 |
| Last updated | Oct 8th, 2019 - about 6 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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