Individual
MRS. STEPHANIE LOVETT MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
155 MAIN ST, WOODLAND, CA 95695-3125
(916) 302-7505
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(310) 922-1412
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
22775
CA
Other
Enumeration date
01/28/2013
Last updated
04/11/2023
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