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NPI Code Detail

MEDICARE: MARYANNE STAFFORD DACM

MEDICARE:   MARYANNE  STAFFORD  DACM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist20553CA

General Provider Information

NPI Number : 1720933526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANNE STAFFORD DACM
Provider Business Mailing Address
First Line : 39520 MURRIETA HOT SPRINGS RD STE 219-2040
Second Line :
City : MURRIETA
State : CA
Zip : 92563-7713
Country : US
Telephone Number : 619-736-9284
Fax Number :
Provider Business Practice Location Address
First Line : 29950 HUNTER RD STE 101
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2767
Country : US
Telephone Number : 619-736-9284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 03/16/2026

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Directions to “ MARYANNE STAFFORD DACM” Practice Location

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