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Stacey Mah
Family Nurse Practitioner in Hawaiian Gardens, California
NPI 1689113789

Stacey Mah is a Family Nurse Practitioner based in Commerce, CA and is specialized in Family. Stacey Mah practices in Hawaiian Gardens, CA. The NPI Number for Stacey Mah is 1689113789 and holds a License No. 95006087 (California).

The current practice location address for Stacey Mah is 22310 Wardham Ave, Hawaiian Gardens, CA and can be reached out via phone at 562-928-9600.

Location: 22310 Wardham Ave, Hawaiian Gardens, CA, 90040-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689113789
Provider Name
Stacey Mah
Credential
Provider Entity Type
Individual
Gender
Female
Address
22310 Wardham Ave, Hawaiian Gardens, CA, 90040-2451
Phone Number
562-928-9600
Fax Number
Provider Enumeration Date
02/22/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
22310 Wardham Ave
City
Hawaiian Gardens
State
California
Zip
90716-1740
Phone Number
562-928-9600
Fax Number
person
Provider Business Mailing Address Details
Address
22310 Wardham Ave
City
Hawaiian Gardens
State
California
Zip
90716-1740
Phone Number
562-928-9600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95006087 (California)
Definition
Definition to come...
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