Individual
STEPHANIE NICOLE CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(330) 313-5006
Mailing address
1415 2ND ST APT E104, CORONADO, CA 92118-1524
(330) 313-5006
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
04/26/2023
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