Individual
ERIN NICOLE STINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
572 N. ARROWHEAD AVE. SUITE 200, SAN BERNARDINO, CA 92401
(909) 266-2703
Mailing address
3280B LITTLE MOUNTAIN DR, SAN BERNARDINO, CA 92405
(323) 517-5112
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225800000X
MEDICAL
CA
Enumeration date
02/12/2010
Last updated
02/12/2010
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