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Individual

MRS. MARY RUTH STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.P.N.P.

Contact information

Practice address
815 S WILLOW AVE, RIALTO, CA 92376-6934
(909) 820-4431
(909) 820-7770
Mailing address
815 S WILLOW AVE, RIALTO, CA 92376-6934
(909) 820-4431
(909) 820-7770

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
255889
CA

Other

Enumeration date
08/13/2007
Last updated
08/13/2007
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