Individual
STEPHANIE ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33713 MILL POND DR, WILDOMAR, CA 92595-7673
(619) 948-5214
Mailing address
33713 MILL POND DR, WILDOMAR, CA 92595-7673
(619) 948-5214
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
704182
CA
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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