Individual
BIANNE STEPHEN U GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7910 ATLANTIC AVE STE M, CUDAHY, CA 90201-5774
(323) 908-4200
Mailing address
1245 RAVENNA AVE, WILMINGTON, CA 90744-3120
(310) 818-1788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95034113
CA
Other
Enumeration date
02/26/2025
Last updated
05/07/2025
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