STACEY MARIE SHOOP

SANTA ANA, CA
NPI1104222124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA52143)
Enumeration Date2014-11-19
Last Update Date2024-07-24
Business Address
Mrs. STACEY MARIE SHOOP M.D.
2621 S BRISTOL ST STE 108
SANTA ANA, CA 92704-5718
Phone number: 714-754-1684
Mailing Address
Mrs. STACEY MARIE SHOOP M.D.
2621 S BRISTOL ST STE 108
SANTA ANA, CA 92704-5718
Phone number: 714-754-1684