Most Relevant Information
Provider Data
| NPI Number: | 1003674847 |
| Provider Name: | STEPHANIE HOULE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP95028465 |
Most Important Dates
| Enumeration Date: | 03/07/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
28477 LIZARD ROCKS RD
VALLEY CENTER
CA
92082
Practice Location Phone/Fax
| Phone: | 8338674642 |
| Fax: |
Provider Mailing Location
28477 LIZARD ROCKS RD
VALLEY CENTER
CA
92082
Provider Mailing Phone/Fax
| Phone: | 8582208138 |
| Fax: |