Stephanie Kidwell

NPI #1124768155 in Hemet, California

Provider Information

NPI Number: 1124768155
Entity Type: Individual
Name: Stephanie Kidwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 29, 2022
Last Updated: Nov 20, 2024

Practice Location

Address: 258 N THOMPSON ST
City: Hemet
State: California
ZIP Code: 92543-4311
Phone: (951) 534-9003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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