Provider Demographics
NPI:1568564110
Name:STUBBS, MARIA KAZLAUSKAS (RPH)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:KAZLAUSKAS
Last Name:STUBBS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ZIBUTE
Other - Last Name:KAZLAUSKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:630 SEAWARD AVE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-3256
Mailing Address - Country:US
Mailing Address - Phone:760-431-5205
Mailing Address - Fax:
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:858-552-7582
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA441701835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy