Kisha Eugena Hill Stegall LVN LICENSE

NPI 1164610630 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1164610630
Gender Female
Enumeration Date 10/10/2007
Last Updated 06/30/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
38239 MULLIGAN DR
BEAUMONT CA, 92223-8083, US
Phone (909) 641-8949
Fax (951) 845-6843
Business Location
38239 MULLIGAN DR
BEAUMONT CA, 92223-8083, US
Phone (909) 641-8949
Fax (951) 845-6843
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number 191598
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According to our database, Mrs. Kisha Eugena Hill Stegall LVN LICENSE NPI is 1164610630, taxonomy code is 164X00000X and license number is 191598, license state is located at California. Kisha Eugena Hill Stegall LVN LICENSE physically located at 38239 Mulligan Dr, Beaumont CA, 92223-8083. NPI Number Kisha Eugena Hill Stegall LVN LICENSE has the Individual type.

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1164610630 NPI number is provided on an as is basis without warranty of any kind. 1164610630 is maintained by the National Plan & Provider Enumeration System. The contents of Kisha Eugena Hill Stegall LVN LICENSE are for informational purposes only.