Individual
MR. KEVIN RAFAEL STANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2908 WESTMINSTER AVE, SEAL BEACH, CA 90740
(562) 735-3909
Mailing address
10490 E. BRIAR OAKS DRIVE UNIT B, STANTON, CA 90680
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
9723
CA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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