Garrison, Stacy

Garrison, Stacy is an sole proprietor health care provider with primary practice located at 4601 Dale Rd , Modesto CA 95356-9718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Garrison, Stacy can be contacted via phone (209) 735-6102.

Contact Information

Primary practice address
4601 Dale Rd Modesto CA 95356-9718
Phone: (209) 735-6102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18133 California

Profile Details

NPI number 1033240833
LBN Legal business name Garrison, Stacy
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Feb 11th, 2022 - about 4 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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