Individual
DR. GLORIA JANE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
954 W FOOTHILL BLVD STE B, UPLAND, CA 91786
(909) 949-7500
(909) 946-1133
Mailing address
954 W FOOTHILL BLVD STE B, UPLAND, CA 91786-3782
(909) 949-7500
(909) 946-1133
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G058338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330357267
CCN
CA
05
—
8357422
—
CA
Enumeration date
12/13/2006
Last updated
10/18/2018
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