| Doctor Name: | MS. STEPHANI RAE WALTON |
| NPI Number: | 1114074804 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, MS, CDE |
| License Number: | 336510 |
| Business Practice Address: | 1777 W Yosemite Ave Manteca, CA - 953375130 |
| Business Phone Number: | 2098252423 |
| Business Fax Number: | 2098252409 |
| Mailing Address: | 10130 Berryessa Dr, STOCKTON |
| State: | CA |
| Postal Code: | 952197123 |
| Phone Number: | 2094746588 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1600X |
| License Number: | 336510 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Continuing Education/Staff Development |
| Taxonomy Definition: | |