Individual
GERDA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1641 106TH LN SE, OLYMPIA, WA 98501-9777
(360) 250-0260
Mailing address
PO BOX 14734, TUMWATER, WA 98511-4734
(360) 250-0260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00125009
WA
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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