Individual
MRS. ANGLEA LOUISE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
367 HOME AVE, PIQUA, OH 45356-2433
(937) 606-2019
Mailing address
367 HOME AVE, PIQUA, OH 45356-2433
(937) 606-2019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
122291
OH
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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