Individual
SHERRY LEE STOEFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
311889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311899
OUT PATIENT DRUG AND ALOCHOL TREATMENT
CA
Enumeration date
03/20/2009
Last updated
03/20/2009
Update your record
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