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Individual

MISS REBECCA MICHELLE STULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-PC, RN

Contact information

Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
1235 W TOWN AND COUNTRY RD APT 3423, ORANGE, CA 92868-4677
(909) 631-5496

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95030984
CA

Other

Enumeration date
09/16/2024
Last updated
09/16/2024
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