Individual
MRS. KOURTNEY JARAE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 BEARS DEN RD, YOUNGSTOWN, OH 44511-2901
(330) 774-9472
Mailing address
3285 BEARS DEN RD, YOUNGSTOWN, OH 44511-2901
(330) 774-9472
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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