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Individual

STEPHEN HILLYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
257 E BELLEVUE RD STE 255, ATWATER, CA 95301-2304
(209) 355-6995
(209) 812-1775
Mailing address
257 E BELLEVUE RD STE 255, ATWATER, CA 95301-2304
(209) 355-6995
(209) 812-1775

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
37-1944628
CA
Enumeration date
11/26/2019
Last updated
11/26/2019
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