Individual
JENNIFER STOCKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 THALIA ST, LAGUNA BEACH, CA 92651
(949) 499-0577
Mailing address
24671 CREEKVIEW DR, LAGUNA HILLS, CA 92653-4210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000281
CA
Other
Enumeration date
02/07/2014
Last updated
07/03/2014
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