Individual
MR. GERARD PAUL STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 272-0495
(626) 356-2621
Mailing address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 795-9901
(626) 272-2621
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
572022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
572022
REGISTERED NURSE
CA
Enumeration date
09/21/2021
Last updated
09/21/2021
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