| 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 |
|---|---|
| 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 |