Individual
STEPHANIE CIPTA KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-8558
Mailing address
11234 ANDERSON ST # 2586A, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A134765
CA
Other
Enumeration date
04/11/2013
Last updated
07/18/2018
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