Individual
BRITTANY SHANAE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
(313) 834-5930
Mailing address
17624 GATEWAY CIR, SOUTHFIELD, MI 48075-4718
(313) 673-2345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704329970
MI
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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