PHILLIP CLAYON STAFFORD

LAS VEGAS, NV
NPI1376083220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2017-02-26
Last Update Date2021-08-05
Business Address
Mr. PHILLIP CLAYON STAFFORD
7213 CHESTERTON DR
LAS VEGAS, NV 89128-3121
Phone number: 702-754-9136
Mailing Address
Mr. PHILLIP CLAYON STAFFORD
7055 E LAKE MEAD BLVD APT 1004
LAS VEGAS, NV 89156-1108
Phone number: 804-729-1264