Organization
INNER GROWTH LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIA SIREL STOLETNIY MD (MD)
(909) 528-6459
Entity
Organization
Contact information
Practice address
10010 ALABAMA ST STE A, REDLANDS, CA 92374-2068
(840) 888-5319
Mailing address
10010 ALABAMA ST STE A, REDLANDS, CA 92374-2068
(840) 888-5319
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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