Dequina, Stacy Renee

Dequina, Stacy Renee is an sole proprietor health care provider with primary practice located at 20361 Clark St , Woodland Hills CA 91367-5508. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Dequina, Stacy Renee can be contacted via phone (818) 642-1494.

Contact Information

Primary practice address
20361 Clark St Woodland Hills CA 91367-5508
Phone: (818) 642-1494
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 859099 California

Profile Details

NPI number 1174821425
LBN Legal business name Dequina, Stacy Renee
Credentials R.D., C.D.E.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2011
Last updated Mar 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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