Individual
MRS. KATHLEEN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3823 DELAWARE AVE, PENNSAUKEN, NJ 08109-3703
(856) 663-5221
Mailing address
3823 DELAWARE AVE, PENNSAUKEN, NJ 08109-3703
(856) 663-5221
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW00296400
NJ
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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