person
Stacey Danielle Little, PA-C
Medical Physician Assistant in Chula Vista, California
NPI 1831396415

Stacey Danielle Little is a Medical Physician Assistant based in Chula Vista, CA and is specialized in Medical. Stacey Danielle Little practices in Chula Vista, CA and has the professional credentials of PA-C. The NPI Number for Stacey Danielle Little is 1831396415 and holds a License No. PA16457 (California).

The current practice location address for Stacey Danielle Little is 890 Eastlake Pkwy, Chula Vista, CA and can be reached out via phone at 619-761-1574.

Location: 890 Eastlake Pkwy, Chula Vista, CA, 91914-4520
person
Provider Profile Details
NPI Number
1831396415
Provider Name
Stacey Danielle Little
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
890 Eastlake Pkwy, Chula Vista, CA, 91914-4520
Phone Number
619-761-1574
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16457 01 CA LIC
institution
Provider Business Practice Location Address Details
Address
890 Eastlake Pkwy
City
State
Zip
91914-4520
Phone Number
619-761-1574
Fax Number
person
Provider Business Mailing Address Details
Address
890 Eastlake Pkwy
City
State
Zip
91914-4520
Phone Number
619-761-1574
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA16457 (California)
Definition
Definition to come...
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