Tsukada, Stacie Nachi

Tsukada, Stacie Nachi is an individual health care provider with primary practice located at 5901 E 7Th St C/O Nutrition & Food Services, Long Beach CA 90822-5201. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Tsukada, Stacie Nachi can be contacted via phone (562) 826-8000.

Contact Information

Primary practice address
5901 E 7Th St C/O Nutrition & Food Services Long Beach CA 90822-5201
Phone: (562) 826-8000
Fax: (562) 826-5947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X

Profile Details

NPI number 1710136288
LBN Legal business name Tsukada, Stacie Nachi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710136288 NPPES
Other 00928665 COMMISSION ON DIETETIC REGISTRATION

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