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Individual

STELLA GASTROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 351-7284
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
755697
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
755697
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
755697
CA

Other

Enumeration date
08/16/2016
Last updated
08/16/2016
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