Individual
STELLA ALAH TIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5838 EDISON PL STE 100, CARLSBAD, CA 92008-5520
(718) 854-8370
Mailing address
5838 EDISON PL STE 100, CARLSBAD, CA 92008-5520
(718) 854-8370
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
701807
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201905736
2019050736
CA
Enumeration date
10/15/2019
Last updated
02/19/2020
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