Individual
STEPHANIE GRACE ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6808 LOKAI CT, EASTVALE, CA 92880-3977
(714) 785-9323
Mailing address
6808 LOKAI CT, EASTVALE, CA 92880-3977
(714) 785-9323
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95027779
CA
Other
Enumeration date
05/14/2025
Last updated
09/10/2025
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