Individual
MS. STEPHANIE RENEE ADANALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Contact information
Practice address
536 E OLIVE AVE, FRESNO, CA 93728-3250
(559) 392-0982
Mailing address
1583 N ROOSEVELT AVE, FRESNO, CA 93728-1708
(559) 392-0982
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
L-9875
CA
Other
Enumeration date
03/11/2024
Last updated
04/25/2024
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