Search › California › 207Q00000X

Jermaine Stubblefield, PA

NPI 1356667539 · on the registry since 2010

Practice

Address
2 Medical Plaza
Suite 130
Roseville, CA 95661
Phone
(916) 797-4725
Fax
(916) 797-4716
Organisation at this address
Abdo J. Faddoul, M.D. A Prof Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California