Individual
ANGELA SUE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8653 CAMP CREEK RD, LUCASVILLE, OH 45648-9562
(740) 289-1029
Mailing address
8653 CAMP CREEK RD, LUCASVILLE, OH 45648-9562
(740) 289-1029
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.113300
OH
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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