Individual
MRS. BRENDA JEANNETTE STOCKHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4TH & INNER LOOP RD, FORT IRWIN, CA 92310
(760) 380-5183
Mailing address
4TH & INNER LOOP RD, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2117372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117372
RN
FL
Enumeration date
11/02/2007
Last updated
11/02/2007
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