MR. CLARENCE STUPPARD SR., ADMINISTRATOR

Home Health

Active Individual
NPI: 1508175092

Practice Address

2924 BRIGHTON ST
Philadelphia, PA 19149

Phone: (215) 624-1321

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X No 16713601 (PA)
Home Health 251E00000X Yes 16713601 (PA)

Frequently Asked Questions

NPI 1508175092 is the National Provider Identifier for MR. CLARENCE STUPPARD SR., ADMINISTRATOR, a Home Health provider located in Philadelphia, PA. This NPI was enumerated on September 30, 2010.
MR. CLARENCE STUPPARD SR., ADMINISTRATOR practices at 2924 BRIGHTON ST, Philadelphia, PA 19149.

Quick Facts

NPI
1508175092
Type
Individual
Enumerated
Sep 30, 2010
Last Updated
Sep 30, 2010

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