STACEY HALLARCES NAKAYAMA

COSTA MESA, CA
NPI1164774774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 39125)
Enumeration Date2012-10-05
Last Update Date2017-05-11
Business Address
-- STACEY HALLARCES NAKAYAMA DPT
121 E 18TH ST
COSTA MESA, CA 92627-3034
Phone number: 213-792-2616
Mailing Address
-- STACEY HALLARCES NAKAYAMA DPT
2220 RALEIGH AVE
COSTA MESA, CA 92627-2909
Phone number: 408-781-2511