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1164163077
STACEY FAYE ALT
SAN DIEGO, CA
NPI
1164163077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
Additional Taxonomies
176B00000X Midwife
(Licence: CA 236252)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
STACEY FAYE ALT CNM, WHNP-BC
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134-0001
Phone number: 619-643-1197
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Mailing Address
STACEY FAYE ALT CNM, WHNP-BC
2020 CAMINO DE LA REINA UNIT 106
SAN DIEGO, CA 92108-5523
Phone number: 619-643-1197
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