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NPI Code Detail

MEDICARE: STEFANI MARIE WESSEL

MEDICARE: STEFANI MARIE WESSEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134088438
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANI MARIE WESSEL
Provider Business Mailing Address
First Line : 1444 CAMINITO SEPTIMO
Second Line :
City : CARDIFF
State : CA
Zip : 92007-1032
Country : US
Telephone Number : 858-277-9550
Fax Number :
Provider Business Practice Location Address
First Line : 3002 ARMSTRONG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-5702
Country : US
Telephone Number : 858-277-9550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ STEFANI MARIE WESSEL ” Practice Location

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