Stacy, Jessica

Stacy, Jessica is an sole proprietor health care provider with primary practice located at 530 Madison Ave , Redwood City CA 94061-1643. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stacy, Jessica can be contacted via phone (831) 229-6430.

Contact Information

Primary practice address
530 Madison Ave Redwood City CA 94061-1643
Phone: (831) 229-6430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1710342647
LBN Legal business name Stacy, Jessica
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2015
Last updated Dec 18th, 2015 - about 10 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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