Individual
STELLA SHOBOWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1919
(718) 471-5978
(718) 471-5978
Mailing address
2929 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1919
(718) 471-5978
(718) 471-5978
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
535900-1
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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