Most Relevant Information
Provider Data
| NPI Number: | 1003592106 |
| Provider Name: | KAITLIN STANFIELD |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2023 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
4250 FOWLER LN STE 204
DIAMOND SPRINGS
CA
956199782
Practice Location Phone/Fax
| Phone: | 5302951491 |
| Fax: |
Provider Mailing Location
PO BOX 1987
DIAMOND SPRINGS
CA
956191987
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |