Individual
COLLEEN MARIE STALLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Mailing address
13352 GRANITE CREEK RD, SAN DIEGO, CA 92128-4072
(858) 391-8162
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
466411
CA
Other
Enumeration date
02/13/2006
Last updated
04/07/2010
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