STACY R. BISCHOFF, RN, NP, PC
Nursing at Lincoln Ave, San Rafael, CA

License number
California 2129357
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: STACY R BISCHOFF RN, NP
Title: OWNER/NURSE PRACTITIONER
Phone: (415) 456-7906
Address
Address
1368 Lincoln Ave SUITE 109, San Rafael, CA 94901
National Provider ID: 1144413923
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STACY R. BISCHOFF, R.N., N.P., PC

1 Bracken Ct, San Rafael, CA 94901

Registration:
Jan 1, 1999
State ID:
C2129357
Business type:
Articles of Incorporation
President:
Stacy R. Bischoff (President)
Agent:
Stacy R Bischoff,San Rafael, CA 94901 (Physical)

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