Individual
LEAH ANN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. ASSISTANT
Contact information
Practice address
813 COURT ST STE 2, JACKSON, CA 95642-2169
(209) 223-3250
Mailing address
PO BOX 725, PLYMOUTH, CA 95669-0725
(209) 245-3606
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
AT-5069
CA
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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