Individual
VANESSA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13442 MALENDA DRIVE, SANTA ANA, CA 92705-9270
(714) 543-5437
Mailing address
2130 E 4TH ST STE 107, SANTA ANA, CA 92705-3818
(714) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41586
CA
Other
Enumeration date
12/14/2020
Last updated
01/07/2025
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