Individual
STEPHANIE R PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 786-3750
Mailing address
1830 SIERRA GARDENS DR STE 10, ROSEVILLE, CA 95661-2942
(916) 753-5398
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
698012
CA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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