Individual
STEPHENIE KONX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1221 ANDOVER RD, EL CAJON, CA 92019-2248
(619) 483-5330
Mailing address
1221 ANDOVER RD, EL CAJON, CA 92019-2248
(619) 483-5330
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95022579
CA
Other
Enumeration date
12/11/2012
Last updated
05/02/2024
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