Individual
DEQUINA RENEA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2683 VIDRINE RD, VILLE PLATTE, LA 70586
(337) 363-3703
Mailing address
2683 VIDRINE RD, VILLE PLATTE, LA 70586
(337) 363-3703
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
02/05/2019
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