Individual
MS. AMERICA TENISHA STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
10769 CHAMPAGNE RD, ALTA LOMA, CA 91737-6971
(951) 203-1619
Mailing address
10769 CHAMPAGNE RD, ALTA LOMA, CA 91737-6971
(951) 203-1619
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20051
CA
Other
Enumeration date
11/24/2008
Last updated
07/09/2021
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