Stacy Smith
Stacy Smith is a Rehabilitation Practitioner in Covina, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1411 N Grand Ave 100Covina, CA 91724-1001
Phone: (626) 395-7100
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1114057791 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | June 25, 2013 |
| Mailing address | 1411 N Grand Ave, 100, Covina, CA 91724-1001 |
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Mrs. Gloria Jean Spaulding
1411 N Grand Ave, Covina, CA 91724-1001 · (626) 395-7100