MRS. Kisha Eugena Hill Stegall, LVN LICENSE
NPI #1164610630 in Beaumont, California
Provider Information
- NPI Number
- 1164610630
- Entity Type
- Individual
- Name
- MRS. Kisha Eugena Hill Stegall, LVN LICENSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN LICENSE
- Enumeration Date
- Oct 10, 2007
- Last Updated
- Jun 30, 2014
Practice Location
- Address
- 38239 MULLIGAN DR
- City
- Beaumont
- State
- California
- ZIP Code
- 92223-8083
- Phone
- (909) 641-8949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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