| Doctor Name: | MRS. JOLI VAVAO |
| NPI Number: | 1023391216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 549882 |
| Business Practice Address: | 300 Pasteur Dr Room R 281 Stanford, CA - 943052200 |
| Business Phone Number: | 6507235575 |
| Business Fax Number: | 6507249232 |
| Mailing Address: | 300 Pasteur Dr., Room R 281 STANFORD |
| State: | CA |
| Postal Code: | 943055327 |
| Phone Number: | 6507235575 |
| Fax Number: | 6507249232 |
| NPI Enumeration Date: | 09/23/2011 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 549882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |