STACEY RAYFORD

BATON ROUGE, LA
NPI1336271329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: LA  1584827)
Additional Taxonomies376K00000X Nurse's Aide
(Licence: LA  1584894)
376K00000X Nurse's Aide
(Licence: LA  1456462)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
Mr. STACEY RAYFORD
11628 S CHOCTAW DR
BATON ROUGE, LA 70815-2107
Phone number: 225-275-5999
Mailing Address
Mr. STACEY RAYFORD
11628 S CHOCTAW DR
BATON ROUGE, LA 70815-2107
Phone number: 225-275-5999