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Individual
MS. STEPHANIE SEREDA SHORT
Active
Individual
MS. STEPHANIE SEREDA SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
13059
CA
225400000X
Rehabilitation Practitioner
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
06/24/2026
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