NPI 1427234152

Tiki Stafford

Practitioner Lodging Provider Jacksonville, FL

Practice location

Address: 523 Fern St, Jacksonville, FL 32206-6238
Phone: (904) 764-2891

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence AL11189 (FL)

Other Lodging providers in Florida →

Registry record

NPI: 1427234152
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2008
Record last updated: 11 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.