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Individual

ALICIA STANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
603 POST OFFICE RD STE 108, WALDORF, MD 20602-1914
(240) 585-7128
Mailing address
603 POST OFFICE RD STE 108, WALDORF, MD 20602-1914

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R229010
MD
363LF0000X
Family Nurse Practitioner
Primary
R229010
MD

Other

Enumeration date
08/23/2022
Last updated
10/19/2022
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