Individual
DANIELLE CASSIDY STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-1777
Mailing address
724 KING ST, MEDFORD, OR 97501-3410
(541) 951-3640
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
OR
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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