Individual
LARISSA STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CAMINO DEL RIO S STE 160, SAN DIEGO, CA 92108-3774
(619) 488-6002
(949) 812-6657
Mailing address
5173 WARING RD STE 114, SAN DIEGO, CA 92120-2705
(619) 488-6002
(949) 812-6657
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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