STACY DERTIEN

SAN DIEGO, CA
NPI1326161720
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Miss STACY DERTIEN
5005 TEXAS ST STE 203
SAN DIEGO, CA 92108-3721
Phone number: 619-692-0727
Mailing Address
Miss STACY DERTIEN
4609 MUIR AVE
SAN DIEGO, CA 92107-2216
Phone number: 616-634-3726
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