Individual
KESIA L STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6624 FORREST RD, COLUMBUS, GA 31907-3037
(706) 393-1079
Mailing address
6624 FORREST RD, COLUMBUS, GA 31907-3037
(706) 393-1079
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
GA
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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