John Stafford Llc | |
45525 Highway 79 Unit 53 Aguanga CA 92536-8601 | |
(760) 459-4428 | |
Not Available |
Full Name | John Stafford Llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 45525 Highway 79 Unit 53, Aguanga, California |
Authorized Official Name and Position | John Stafford (OWNER) |
Authorized Official Contact | 7604594428 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John Stafford Llc 45600 Highway 79 Unit 451 Aguanga CA 92536-6818 Ph: (760) 459-4428 | John Stafford Llc 45525 Highway 79 Unit 53 Aguanga CA 92536-8601 Ph: (760) 459-4428 |
NPI Number | 1063125276 |
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Provider Enumeration Date | 01/03/2023 |
Last Update Date | 01/03/2023 |
Certification Date | 01/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063125276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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