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Stacy Renee Dimartino
Attendant Care Provider in Jamul, California
NPI 1609523760

Stacy Renee Dimartino is an Attendant Care Provider based in Jamul, CA and is specialized in Attendant Care Provider. Stacy Renee Dimartino practices in Jamul, CA. The NPI Number for Stacy Renee Dimartino is 1609523760 and holds a License No. (California).

The current practice location address for Stacy Renee Dimartino is 16451 Lawson Valley Rd, Jamul, CA and can be reached out via phone at 619-246-1551.

Location: 16451 Lawson Valley Rd, Jamul, CA, 91935-2413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609523760
Provider Name
Stacy Renee Dimartino
Credential
Provider Entity Type
Individual
Gender
Female
Address
16451 Lawson Valley Rd, Jamul, CA, 91935-2413
Phone Number
619-246-1551
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B4459050 01 CA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
16451 Lawson Valley Rd
City
Jamul
State
California
Zip
91935-2413
Phone Number
619-246-1551
Fax Number
person
Provider Business Mailing Address Details
Address
16451 Lawson Valley Rd
City
Jamul
State
California
Zip
91935-2413
Phone Number
619-246-1551
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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