Individual
DR. JESSICA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2425 44TH ST SE, KENTWOOD, MI 49512-3878
(616) 455-5151
Mailing address
2425 44TH ST SE, KENTWOOD, MI 49512-3878
(616) 455-5151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039410
MI
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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