Individual
QIANA STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1166 MANDALAY CT SW, LILBURN, GA 30047-4227
(470) 848-3622
Mailing address
1166 MANDALAY CT SW, LILBURN, GA 30047-4227
(470) 848-3622
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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