Individual
KENDRA GAIL STIDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP
Contact information
Practice address
800 GRAND AVE, STE C12, CARLSBAD, CA 92008-1808
(760) 275-2214
Mailing address
PO BOX 1072, CARLSBAD, CA 92018-1072
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
146D00000X
Personal Emergency Response Attendant
—
—
225700000X
Massage Therapist
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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