Individual
DANA LAUREN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12919 MONTANA AVE APT 103, LOS ANGELES, CA 90049-4843
(678) 492-8470
Mailing address
12919 MONTANA AVE APT 103, LOS ANGELES, CA 90049-4843
(678) 492-8470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95025963
CA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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