Search › California › 175T00000X
Theodore Stovall
NPI 1669170114 · on the registry since 2023 · sole proprietor
Practice
- Address
- 9229 Condesa Dr
Sacramento, CA 95826 - Phone
- (916) 208-1950
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-22
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