Individual
LYNNDEE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28777 BRADLEY RD, MENIFEE, CA 92586-3062
(562) 394-2820
Mailing address
28777 BRADLEY RD, MENIFEE, CA 92586-3062
(562) 394-2820
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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