Individual
AMBER FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 RENNER DR, FORTUNA, CA 95540-7103
(707) 725-3318
(707) 725-1998
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363LF0000X
Family Nurse Practitioner
Primary
95029240
CA
Other
Enumeration date
06/29/2010
Last updated
09/04/2024
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