Provider Demographics
NPI:1669675245
Name:STEFANESCU, FLORENTINE (LAC, DIPL AC)
Entity Type:Individual
Prefix:
First Name:FLORENTINE
Middle Name:
Last Name:STEFANESCU
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8854 GREENBACK LN
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4019
Mailing Address - Country:US
Mailing Address - Phone:916-671-1765
Mailing Address - Fax:916-671-5661
Practice Address - Street 1:8854 GREENBACK LN
Practice Address - Street 2:SUITE 2
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4019
Practice Address - Country:US
Practice Address - Phone:916-671-1765
Practice Address - Fax:916-671-5661
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8314171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist