Individual
DEBORAH STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 VISTA DEL REY DR, VADO, NM 88072-7236
(575) 233-3240
Mailing address
220 VISTA DEL REY DR, VADO, NM 88072-7236
(575) 233-3240
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
439550
NM
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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