Individual
CARLA DIANE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
25837 OAK ST, #228, LOMITA, CA 90717-3156
(310) 962-9813
Mailing address
25837 OAK ST, #228, LOMITA, CA 90717-3156
(310) 962-9813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
504098
CA
363LF0000X
Family Nurse Practitioner
Primary
9972
CA
Other
Enumeration date
06/23/2007
Last updated
12/12/2008
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