Chenelle Stanford

NPI #1093269789 in Aventura, Florida

Provider Information

NPI Number: 1093269789
Entity Type: Individual
Name: Chenelle Stanford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 10, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 20900 BISCAYNE BLVD
City: Aventura
State: Florida
ZIP Code: 33180-1407
Phone: (305) 935-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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