Individual
ASHLEY NICHOLE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CRAVEN RD, SAN MARCOS, CA 92078-4201
(760) 510-4460
Mailing address
40438 YARDLEY CT, TEMECULA, CA 92591-7028
(951) 764-1352
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014725
CA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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