NPI 1023688850
Audra Marie Stance, BAMPA
Practice location
- Address
- 2310 W Starr St, Peoria, IL 61605-3240
- Phone
- (510) 563-9785
- Mailing address
- PO Box 4792, Stockton, CA 95204-0792
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023688850
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Jun 2021
- Record last updated
- 24 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.