Individual
MRS. CAROLE KING STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
1111 FIGUEROA PL # TECH115, WILMINGTON, CA 90744-2311
(310) 233-4520
Mailing address
47 SEAWALL RD, RANCHO PALOS VERDES, CA 90275-6052
(310) 200-7100
(310) 233-4055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6607
CA
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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