Individual
VANESSA JOANN STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(888) 880-9270
Mailing address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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