Individual
STEPHEN MURRIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16139 BLUE LAGOON ST, LA PUENTE, CA 91744-2217
(626) 695-6302
Mailing address
16139 BLUE LAGOON ST, LA PUENTE, CA 91744-2217
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95036087
CA
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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