Individual
MA STEPHANIE NARES ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR, OWNER
Contact information
Practice address
1408 OAKMONT PL, PITTSBURG, CA 94565-5114
(925) 967-8626
Mailing address
1408 OAKMONT PL, PITTSBURG, CA 94565-5114
(925) 967-8626
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
079201037
CA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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