Individual
JANICE M STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 ENTRANCE AVE, LEWISTOWN, MT 59457-2215
(406) 707-0520
Mailing address
504 ENTRANCE AVE, LEWISTOWN, MT 59457-2215
(406) 707-0520
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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