Individual
MARIBETH PFAFF STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 ROSE ST, LEXINGTON, KY 40536
Mailing address
780 ROSE ST, LEXINGTON, KY 40536
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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