STEPHANIE J LAKE

DAVIS, CA
NPI1891058947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: CA  CATC #091698)
Enumeration Date2012-06-22
Last Update Date2012-06-22
Business Address
-- STEPHANIE J LAKE CATC
ONE SHIELDS AVE UC DAVIS STUDENT HEALTH AND COUSELING SERVICES
DAVIS, CA 95616
Phone number: 530-752-6334
Mailing Address
-- STEPHANIE J LAKE CATC
ONE SHIELDS AVE UC DAVIS STUDENT HEALTH AND COUSELING SERVICES
DAVIS, CA 95616
Phone number: 530-752-6334