Miller, Staci Breckenridge

Miller, Staci Breckenridge is an individual health care provider with primary practice located at 1451 Quail St , Newport Beach CA 92660-2742. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Miller, Staci Breckenridge can be contacted via phone (949) 290-6353.

Contact Information

Primary practice address
1451 Quail St Newport Beach CA 92660-2742
Phone: (949) 290-6353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X California

Profile Details

NPI number 1609527233
LBN Legal business name Miller, Staci Breckenridge
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2022
Last updated Jan 14th, 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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