Individual
MRS. STEPHANIE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
512 E MEADOW LN, BIG BEAR CITY, CA 92314-9459
(909) 728-3911
Mailing address
512 E MEADOW LN, BIG BEAR CITY, CA 92314-9459
(909) 728-3911
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
CA
Other
Enumeration date
11/09/2021
Last updated
07/17/2022
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