Individual
KARRENE LOUISE STANARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31764 CASINO DRIVE, SUITE 300, LAKE ELSINORE, CA 92530
(951) 471-4645
Mailing address
31764 CASINO DRIVE, SUITE 300, LAKE ELSINORE, CA 92530
(951) 471-4645
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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