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Individual
INDRIA S FORD
Active
Individual
INDRIA S FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4703099381
MI
163WC1500X
Community Health Registered Nurse
Primary
4703099381
MI
164W00000X
Licensed Practical Nurse
4703099381
MI
Other
Enumeration date
08/23/2013
Last updated
09/03/2024
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