Derosa, Stacy Marie

Derosa, Stacy Marie is an individual health care provider with primary practice located at 355 17Th Ave , San Francisco CA 94121-2312. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Derosa, Stacy Marie can be contacted via phone (631) 882-5300.

Contact Information

Primary practice address
355 17Th Ave San Francisco CA 94121-2312
Phone: (631) 882-5300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 1018194 California

Profile Details

NPI number 1992135933
LBN Legal business name Derosa, Stacy Marie
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Oct 21st, 2025 - about last year

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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