STACI ANN DIFAZIO

SYLMAR, CA
NPI1598307852
Former NameSTACI DIFAZIO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  808709)
Enumeration Date2019-10-08
Last Update Date2019-10-08
Business Address
STACI ANN DIFAZIO RN
14445 OLIVE VIEW DR
SYLMAR, CA 91342-1437
Phone number: 747-210-4343
Mailing Address
STACI ANN DIFAZIO RN
24455 MONTEVISTA CIR
VALENCIA, CA 91354-1221
Phone number: 818-588-9389