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NPI Code Detail

MEDICARE: STEPHANIE CARMELA FINTZ

MEDICARE: STEPHANIE CARMELA FINTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1619849734
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE CARMELA FINTZ
Provider Business Mailing Address
First Line : 160 WIKIUP DR STE 102
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-7776
Country : US
Telephone Number : 510-317-1444
Fax Number :
Provider Business Practice Location Address
First Line : 160 WIKIUP DR STE 102
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-7776
Country : US
Telephone Number : 510-317-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 01/12/2026

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Directions to “ STEPHANIE CARMELA FINTZ ” Practice Location

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