Individual
STEPHANIE PURMORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3221
Mailing address
3719 COUNTRY CLUB DR UNIT 16, LONG BEACH, CA 90807-3151
(805) 990-1734
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
1198
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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