Individual
JESSICA ANN STAFFORD-EADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2251 PALM AVE, SAN MATEO, CA 94403-1814
(650) 513-6500
Mailing address
PO BOX 532, LA HONDA, CA 94020-0532
(650) 399-5476
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
739731
CA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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