MR. CLARENCE STUPPARD, SR.

ADMINISTRATOR specializing in community health worker in Philadelphia, Pennsylvania

NPI: 1508175092

Provider Type

1

Practice Locations

Mailing Location

2924 BRIGHTON ST

PHILADELPHIA, PA 19149

📞 2156241321

📠 2156241034

Practice Location

2924 BRIGHTON ST

PHILADELPHIA, PA 19149

📞 2156241321

📠 2156241034

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:9/30/2010
Last Updated:9/30/2010

Credentials

Primary Credential:ADMINISTRATOR
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