Individual
MRS. JENDAYI STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 SE BARRINGTON DR, OAK HARBOR, WA 98277-3200
(866) 240-0808
Mailing address
1342 ORCHARD LOOP, OAK HARBOR, WA 98277-8913
(937) 546-2028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1093009193
WA
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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