TIMOTHY JAMES STACY

SHERMAN OAKS, CA
NPI1457356479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: CA  15005)
Enumeration Date2005-06-16
Last Update Date2010-02-23
Business Address
TIMOTHY JAMES STACY ACNP
4955 VAN NUYS BLVD SUITE 502
SHERMAN OAKS, CA 91403-1801
Phone number: 818-325-0200
Mailing Address
TIMOTHY JAMES STACY ACNP
5268 HUCKLEBERRY OAK STREET
SIMI VALLEY, CA 93063
Phone number: 805-208-0434
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