Individual
MRS. ANGELA STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11490 WHITE RD, CATO, NY 13033-8732
(315) 753-0063
(315) 753-0063
Mailing address
11490 WHITE RD, CATO, NY 13033-8732
(315) 753-0063
(315) 753-0063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
230759-1
NY
Other
Enumeration date
01/19/2014
Last updated
01/28/2014
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