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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RAEVYN STALLWORTH

Active

RAEVYN STALLWORTH is a Licensed Vocational Nurse healthcare provider located in SAN BERNARDINO, California. NPI 1891527370 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · SAN BERNARDINO, CA

Registration Details

NPI Number
1891527370
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2024 (2.0134822460015 yrs)
Last Updated
Aug 14, 2024
License
737988 (CA)

Practice Information

Address
1100 N D ST
SAN BERNARDINO, CA, 924103524
Browse CA providers · Browse ZIP 92410
Phone
9093813774
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in SAN BERNARDINO, CA

Name Credential NPI
AMY ARIAS LVN 1871719302
MRS. ROSHALLY ELVY HUTABARAT LVN 1679760573
ARTURO ANGUIANO 1790953008
MR. DANA MICHAEL SLABY 1083883375
KATRINA D LOFTIS LVN 1962674044
MISS EDIMA BASSEY EFFIONG LVN 1538323852
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.