Stephanie Cavallo

NPI 1205247053 · on the registry since 2014

Practice

Address: 950 Coddingtown Ctr
Santa Rosa, CA 95401
Phone: (707) 596-5588
Fax: (707) 596-5598
Organisation at this address: Garfield Beach Cvs Llc
Modern Sight Optometric Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California