| NPI | 1255618500 |
|---|---|
| Doing Business As | DR. HOLLIS L. STAVN |
| Entity Type | Organization |
| Authorized Contact | HOLLIS LOREN STAVN Owner 707-527-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6812 TLG) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2018-06-20 |