Individual
ERICH STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
1526 KEARSARGE RD, LA JOLLA, CA 92037-3824
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
531308
CA
Other
Enumeration date
10/25/2006
Last updated
03/10/2011
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