Individual
JERRY PATRICK FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 ARLINGTON DR, MONROE, LA 71203-4702
(318) 509-9841
Mailing address
114 ARLINGTON DR, MONROE, LA 71203-4702
(318) 509-9841
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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