Individual
LEAH STAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
34554 NORTHRUP DR, CHESTERFIELD, MI 48047-3183
(586) 850-2236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704373009
MI
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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