Individual
MS. CYGLENDA EVANGELINE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
36000 DARNALL LOOP, CRDAMC, IMC, FORT HOOD, TX 76544-5095
(254) 288-8090
Mailing address
PO BOX 690742, KILLEEN, TX 76549-0013
(254) 288-8090
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
205775
TX
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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