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 |