Individual
THERESE DIANE KLINCK-STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
20 LAWRENCE BELL DR., WILLIAMSVILLE, NY 14221
(716) 204-9060
(716) 204-9250
Mailing address
133 BRIARCLIFF RD, CHEEKTOWAGA, NY 14225-1059
(716) 833-9603
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
039452
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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