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1417625187
STACY MARIE RIVERA
SAN DIEGO, CA
NPI
1417625187
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Former Name
STACY MARIE TORRES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: CA 95011538)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
STACY MARIE RIVERA AG-ACNP
286 EUCLID AVE STE 110
SAN DIEGO, CA 92114-3611
Phone number: 619-416-3510
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Mailing Address
STACY MARIE RIVERA AG-ACNP
7318 DRAPER AVE
LA JOLLA, CA 92037-5023
Phone number: 352-474-9363
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