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Ethel Stafford

NPI 1053037499 · on the registry since 2022

Practice

Address
3896 E 155th St
Cleveland, OH 44128
Phone
(216) 374-8496

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio