Individual
MRS. ANITA KAY STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11523 KANIS RD STE D, LITTLE ROCK, AR 72211-3788
(501) 398-0059
Mailing address
18829 PHILIS DR, HENSLEY, AR 72065-9086
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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