Individual ProviderStephanie EnriquezCounselorBehavioral Health & Social Service ProvidersPractice Address1260 E Arrow Hwy, Upland, CA 91786-4982(909) 949-4667PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Enriquez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164085361Provider TypeIndividualFull NameEnriquez, StephanieGenderFemaleSole ProprietorNoEnumeration Date4/15/2019Last Updated4/15/2019Contact InformationPractice LocationPractice Address1260 E Arrow Hwy, Upland, CA 91786-4982Phone(909) 949-4667FaxUnlisted FaxMailing LocationMailing Address1260 E Arrow Hwy, Upland, CA 91786-4982Phone(909) 949-4667FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer