STACI R. JOHNSON

CHINO, CA
NPI1790977502
Former NameSTACI R. BUTLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A85895)
Enumeration Date2007-08-15
Last Update Date2012-07-31
Business Address
-- STACI R. JOHNSON M.D.
4550 EUCALYPTUS AVE
CHINO, CA 91710-9215
Phone number: 310-629-8989
Mailing Address
-- STACI R. JOHNSON M.D.
4550 EUCALYPTUS AVE
CHINO, CA 91710-9215
Phone number: 310-629-8989