Individual
LAITH STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 CALGARY TRL, LITTLE ROCK, AR 72211-4167
(501) 519-4410
Mailing address
1705 CALGARY TRL, LITTLE ROCK, AR 72211-4167
(501) 519-4410
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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