Individual
GLORIA STEPHEN LAIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
764452
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033998
CA
Other
Enumeration date
12/14/2015
Last updated
10/16/2025
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