Individual
STEPHANIE NAI FUALAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2828 BREAKER WAY, STOCKTON, CA 95209-4265
(209) 298-6650
Mailing address
2828 BREAKER WAY, STOCKTON, CA 95209-4265
(209) 298-6650
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95050743
CA
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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