Individual
DOROTHY DUSHAWN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S FRAZIER ST APT 55, CONROE, TX 77301-4466
(682) 438-0255
Mailing address
1400 S FRAZIER ST APT 55, CONROE, TX 77301-4466
(682) 438-0255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NA0060015704
TX
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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