Individual
MRS. STEPHANIE VALESKA GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31935 VIA CORDOBA, TEMECULA, CA 92592-1067
(262) 689-8182
Mailing address
31935 VIA CORDOBA, TEMECULA, CA 92592-1067
(262) 689-8182
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y3748668
DRIVER LICENSE
CA
Enumeration date
09/20/2019
Last updated
09/20/2019
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