Individual
STEPHANIE PUKINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2592 N SANTIAGO BLVD, ORANGE, CA 92867-1862
(855) 434-7763
Mailing address
2592 N SANTIAGO BLVD, ORANGE, CA 92867-1862
(855) 434-7763
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95000480
CA
Other
Enumeration date
06/01/2023
Last updated
02/07/2024
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