JERRY JOSEPH STUPAR

GRANADA HILLS, CA
NPI1770641607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  613194)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
Mr. JERRY JOSEPH STUPAR Registered Nurse
10605 BALBOA BLVD STE 100
GRANADA HILLS, CA 91344-6367
Phone number: 818-366-0325
Mailing Address
Mr. JERRY JOSEPH STUPAR Registered Nurse
10605 BALBOA BLVD STE 100
GRANADA HILLS, CA 91344-6367
Phone number: 818-366-0325
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