Individual
SHEMIKA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 NORFOLK CIR, PORTAGE, MI 49024-3828
(269) 271-1335
Mailing address
4720 NORFOLK CIR, PORTAGE, MI 49024-3828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704378281
MI
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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