Individual provider · Type 1 NPI
Staci Jae Skrederstu, LE
Other Specialist/Technologist · Montrose, CA
NPI number
1285461376
Active
Practice location
2032 Thompson Ct Ste 12
Montrose, CA 91020-1652
Mailing address
427 N 7th St
Montebello, CA 90640-4211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | L9882 (CA) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Another provider at this address
Other other specialist/technologist providers in Montrose
About NPI 1285461376
Staci Jae Skrederstu, LE's National Provider Identifier is 1285461376, issued on Sep 14, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Montrose, CA. The record was last updated on Sep 14, 2024.