STACEY JANNETTE BASS

ORANGE, CA
NPI1295085918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  583021)
Enumeration Date2012-09-11
Last Update Date2012-09-11
Business Address
Mrs. STACEY JANNETTE BASS MSN, RN, PNP
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-997-3000
Mailing Address
Mrs. STACEY JANNETTE BASS MSN, RN, PNP
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-997-3000
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