Individual
STEPHEN JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 SENECA DR, WALNUT, CA 91789-2099
(805) 630-1126
Mailing address
227 SENECA DR, WALNUT, CA 91789-2099
(805) 630-1126
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95002222
CA
Other
Enumeration date
04/26/2018
Last updated
05/02/2018
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