Individual
STEPHANIE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9718 HARVARD ST, BELLFLOWER, CA 90706-3635
(562) 925-2777
(562) 925-7572
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-EYBQCD
CA
Other
Enumeration date
04/25/2024
Last updated
08/14/2024
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