Individual provider · Type 1 NPI

Stephanie Enciso, RN

Case Management Registered Nurse · Commerce, CA

NPI number 1265217459 Active

Practice location

2040 Camfield Ave
Commerce, CA 90040-1502

Mailing address

5425 Pomona Blvd
Los Angeles, CA 90022-1716

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X95222572 (CA)

Case Management Registered Nurse: Definition to come...

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About NPI 1265217459

Stephanie Enciso, RN's National Provider Identifier is 1265217459, issued on Aug 28, 2023. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Commerce, CA. The record was last updated on Aug 28, 2023.