Individual
CLAIRE E STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(805) 455-3564
Mailing address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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