Individual
MS. TAMMY M STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3781 S PARK AVE, BLASDELL, NY 14219-1806
(716) 768-2555
Mailing address
3781 S PARK AVE, BLASDELL, NY 14219-1806
(716) 768-2555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023039
NY
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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