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NPI Code Detail

MEDICARE: VIRGINIA RUTH STANLEY

MEDICARE: VIRGINIA RUTH STANLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1861135261
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA RUTH STANLEY
Provider Business Mailing Address
First Line : 5414 KEARNY MESA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1303
Country : US
Telephone Number : 619-717-2363
Fax Number :
Provider Business Practice Location Address
First Line : 5400 KEARNY MESA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1303
Country : US
Telephone Number : 619-683-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/02/2025

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Directions to “ VIRGINIA RUTH STANLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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