Individual
HALEY ELIZABETH FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HIGHWAY J # 61JN, HAYTI, MO 63851-1200
(573) 359-2600
Mailing address
PO BOX 441, 500 HIGHWAY 61 J N, HAYTI, MO 63851-0441
(573) 359-2600
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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