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Stacy Libenson
NPI 1649692237 · on the registry since 2014 · sole proprietor
Practice
- Address
- 24825 Embajadores Ln
Mission Viejo, CA 92691 - Phone
- (949) 413-6434
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2251G0304X
2251S0007X
2251X0800X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-15
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