Individual
LASHONYA ELAINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2338
(215) 739-1400
Mailing address
426 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2338
(215) 739-1400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN298177
PA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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