Staci Jae Skrederstu, LE
NPI #1285461376 in Montrose, California
Provider Information
- NPI Number
- 1285461376
- Entity Type
- Individual
- Name
- Staci Jae Skrederstu, LE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- LE
- Enumeration Date
- Sep 14, 2024
- Last Updated
- Sep 14, 2024
Practice Location
- Address
- 2032 THOMPSON CT STE 12
- City
- Montrose
- State
- California
- ZIP Code
- 91020-1652
- Phone
- (818) 249-5489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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