Most Relevant Information
Provider Data
| NPI Number: | 1003302746 |
| Provider Name: | STEPHANNI E CASAS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2018 |
| Last Updated: | 07/05/2018 |
Provider Practice Location
430 F ST
CHULA VISTA
CA
919103711
Practice Location Phone/Fax
| Phone: | 6192109017 |
| Fax: |
Provider Mailing Location
430 F ST
CHULA VISTA
CA
919103711
Provider Mailing Phone/Fax
| Phone: | 6192109017 |
| Fax: |