Individual
DEJON STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
824 E 87TH ST, LOS ANGELES, CA 90002-1019
(323) 547-3819
Mailing address
14420 ELSWORTH ST STE 102, MORENO VALLEY, CA 92553-9027
(323) 547-3819
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
KK554811
CA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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