NPI 1083774285
Stacie Anne Elson, RDA
Practice location
- Address
- 1130 Coffee Rd STE 9a, Modesto, CA 95355-4228
- Phone
- (209) 571-7283
- Fax
- (209) 571-7285
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1083774285
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Dec 2006
- Record last updated
- 8 Jul 2007
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.