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STEPHANIE A MOCK

Individual Provider (NPI-1) Active

Student in an Organized Health Care Education/Training Program

Provider Information

NPI Number
1467849216
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2120 S STATE COLLEGE BLVD APT 2093, ANAHEIM, CA, 928066240
Phone
(408) 623-4265

Specialties & Taxonomies

Emergency Medical Technician, Basic License: CA #E132318
Preventive Medicine, Sports Medicine License: CA #2000023261
Student in an Organized Health Care Education/Training Program Primary

All Addresses

MAILING

1734 EWER DR

SAN JOSE, CA, 951243701

(408) 623-4265

LOCATION

2120 S STATE COLLEGE BLVD APT 2093

ANAHEIM, CA, 928066240

(408) 623-4265