Individual
JOHNETTA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W 4TH ST, SAN BERNARDINO, CA 92415-0035
(909) 382-7879
Mailing address
104 W 4TH ST, SAN BERNARDINO, CA 92415-0035
(909) 382-7879
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
04/14/2025
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