Individual
MS. STEPHANI RAE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MS, CDE
Contact information
Practice address
1777 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 825-2423
(209) 825-2409
Mailing address
10130 BERRYESSA DR, STOCKTON, CA 95219-7123
(209) 474-6588
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
336510
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
336510
CA
Other
Enumeration date
01/04/2007
Last updated
09/11/2025
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