Individual
MR. SEAN LELAND STELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
753 S ARROYO PKWY, SUITE 2, PASADENA, CA 91105-3902
(626) 584-0805
(626) 584-0806
Mailing address
753 S ARROYO PKWY, SUITE 2, PASADENA, CA 91105-3902
(626) 584-0805
(626) 584-0806
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0001829
—
CA
Enumeration date
07/05/2006
Last updated
10/22/2008
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