Individual
JEFFREY M STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 292-3774
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
06/09/2023
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