MR. Clivet Glenard Stoll, LPN

NPI #1033324108 in Mt Vernon, New York

Provider Information

NPI Number
1033324108
Entity Type
Individual
Name
MR. Clivet Glenard Stoll, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
11 ARCHER AVE
ZIP Code
10550-2201
Phone
(914) 665-2146

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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