Individual
LENA GRACE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8943
Mailing address
11292 VISTA SORRENTO PKWY, #104, SAN DIEGO, CA 92130-7640
(949) 212-8283
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9180324
FL
Other
Enumeration date
12/04/2006
Last updated
05/05/2008
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