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Search › Pennsylvania › 251E00000X

Clarence Stuppard, ADMINISTRATOR

NPI 1508175092 · on the registry since 2010 · sole proprietor

Practice

Address
2924 Brighton St
Philadelphia, PA 19149
Phone
(215) 624-1321
Fax
(215) 624-1034
Organisation at this address
Reliable Caregivers
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
172V00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania