Individual
HAILEY FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3833 WORSHAM AVE STE 300, LONG BEACH, CA 90808-1766
(562) 595-5421
(562) 426-2862
Mailing address
3833 WORSHAM AVE STE 300, LONG BEACH, CA 90808-1766
(562) 595-5421
(562) 426-2862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56955
CA
Other
Enumeration date
07/02/2019
Last updated
08/14/2019
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