Individual
KIMBERLY MICHELLE STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
411 ABBEY ST, WINTERS, CA 95694-1801
(916) 622-3478
Mailing address
411 ABBEY ST, WINTERS, CA 95694-1801
(916) 622-3478
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
672
CA
Other
Enumeration date
04/21/2022
Last updated
04/25/2022
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