Stephanie Husted

NPI 1427230366 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1427230366
Gender Female
Enumeration Date 12/03/2007
Last Updated 12/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14642 LAKESHORE DR
SUITE C
CLEARLAKE CA, 95422-9290, US
Phone (707) 995-7010
Fax
Business Location
14642C LAKESHORE DR # C
CLEARLAKE CA, 95422-9290, US
Phone (707) 995-7010
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Stephanie Husted NPI is 1427230366, taxonomy code is 171M00000X Stephanie Husted physically located at 14642 Lakeshore Dr, Clearlake CA, 95422-9290. NPI Number Stephanie Husted has the Individual type.

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1427230366 NPI number is provided on an as is basis without warranty of any kind. 1427230366 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Husted are for informational purposes only.