Individual
ANGIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 746-5857
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-2035
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
07/02/2008
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