Most Relevant Information
Provider Data
NPI Number: | 1003047143 |
Provider Name: | COVENA STEWART |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/06/2009 |
Last Updated: | 08/06/2009 |
Provider Practice Location
1500 E KAY ST
COMPTON
CA
902211752
Practice Location Phone/Fax
Phone: | 3108982450 |
Fax: |
Provider Mailing Location
1500 E KAY ST
COMPTON
CA
902211752
Provider Mailing Phone/Fax
Phone: | 3108982450 |
Fax: |