LISA LARAINE STAFFORD

SANTA ROSA, CA
NPI1144779497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  2016013940)
Enumeration Date2016-09-28
Last Update Date2022-12-08
Business Address
LISA LARAINE STAFFORD NP
34 MARK WEST SPRINGS RD FL 3
SANTA ROSA, CA 95403
Phone number: 707-573-5240
Mailing Address
LISA LARAINE STAFFORD NP
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 707-573-5240
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