Provider Demographics
NPI:1043709751
Name:GAILO, STEPHANIE (RN, PHN)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:GAILO
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT OF SOCIAL SERVICES, FAMILY & CHILDREN'S SERVICES.
Mailing Address - Street 2:1000 S. MAIN ST. STE 205
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901
Mailing Address - Country:US
Mailing Address - Phone:831-796-3578
Mailing Address - Fax:831-775-8001
Practice Address - Street 1:DEPT OF SOCIAL SERVICES, FAMILY & CHILDREN'S SERVICES.
Practice Address - Street 2:1000 S. MAIN ST. STE 205
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901
Practice Address - Country:US
Practice Address - Phone:831-796-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA847896163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse