Individual
MARK ANDERSON STELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4231 WITHERBY ST, SAN DIEGO, CA 92103-1132
(619) 846-9310
Mailing address
4231 WITHERBY ST, SAN DIEGO, CA 92103-1132
(619) 846-9310
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
821141
CA
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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