Individual
CHRISTINE ALISON STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2835 BOWEN ST, GRATON, CA 95444-9347
(707) 596-0290
Mailing address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 565-9500
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2681777
CA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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