Adam Wade Stall, CSA Valid NPI

Individual provider · Community Health Worker · Louisa, KY

NPI

1720706153

Type

Individual (Type 1)

Primary specialty

Community Health Worker

Specialty group

Other Service Providers

Taxonomy code

172V00000X

Sex

Male

Sole proprietor

Yes

Enumerated

2022-08-22

Last updated

2022-08-22