Individual
MRS. CARMEN EMILIA STANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE08
Contact information
Practice address
PDS 1725 W. 17TH ST., 101E, SANTA ANA, CA 92706
(714) 834-8752
(714) 834-7956
Mailing address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8752
(714) 834-7956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN363380
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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