Search › California › 164X00000X
Raevyn Stallworth
NPI 1891527370 · on the registry since 2024
Practice
- Address
- 1100 N D St
San Bernardino, CA 92410 - Phone
- (909) 381-3774
- Organisation at this address
- Veterans Alcohol Rehabilitation Program
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 93
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-14
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