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Stacy Carter

NPI 1396982476 · on the registry since 2009 · sole proprietor

Practice

Address
1109 Ream Ave
Mount Shasta, CA 96067
Phone
(530) 926-1436
Fax
(530) 926-2305

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-01-12
Status
Not present in the most recent federal file

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