Individual
KIMBERKY STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSBA, QMHP
Contact information
Practice address
2512 CROTON AVE, SARASOTA, FL 34239-4907
(941) 960-3222
Mailing address
2512 CROTON AVE, SARASOTA, FL 34239-4907
(941) 960-3222
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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