Individual
STEPHANIE MANIQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 STONER AVE APT 210, LOS ANGELES, CA 90025-6194
(973) 723-6042
Mailing address
1247 STONER AVE APT 210, LOS ANGELES, CA 90025-6194
(973) 723-6042
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
23475
CA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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