Individual
VERICIA STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
(714) 542-2246
Mailing address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
(714) 542-2246
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
VN260429
CA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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