Individual
MR. BRIAN CHRISTOPHER STUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
(714) 377-2929
Mailing address
PO BOX 6513, RALEIGH, NC 27628-6513
(949) 309-1859
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
587066
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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