Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Stacy Sachiko Hull | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Stacy | [sources] | |||
Last name | Hull | [sources] | |||
Middle name | Sachiko | [sources] | |||
NPI | 1639257355 | [sources] | |||
Registration number | 00G831230 · G 83123 | [sources] | |||
Sector | Physician | [sources] | |||
Address | 8460 Saint Arvant Court, Elk Grove, CA, 95624 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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