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Individual

ENDRAIN N STAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6100 TEANECK PL, CHARLOTTE, NC 28215-4063
(704) 241-1163
Mailing address
8900 FUSCHIA CT, CHARLOTTE, NC 28215-9420
(704) 241-1163

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
12/30/2020
Last updated
03/16/2022
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