Individual
MS. MONIQUE LA VETTE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5351 GLEN CANYON RD, RALEIGH, NC 27616-5866
(419) 450-9811
Mailing address
5351 GLEN CANYON RD, RALEIGH, NC 27616-5866
(419) 450-9811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230578
NC
163WH0200X
Home Health Registered Nurse
RN278711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408102
—
OH
Enumeration date
03/23/2007
Last updated
01/21/2013
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