Search › California › 374J00000X
Stacey Blackwell
NPI 1659903243 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5760 Chicopee Ave
Encino, CA 91316 - Phone
- (323) 369-8389
Additional practice sites
- 5760 Chicopee Ave, Encino, CA
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2020-02-11
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