Individual
STEPHANIE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9890 COUNTY FARM RD, RIVERSIDE, CA 92503-3678
(510) 337-7950
Mailing address
5310 CANYON CREST DR APT 41, RIVERSIDE, CA 92507-6366
(562) 253-7099
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
00000000000000000000
CA
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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