Individual
IVY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
304 ELIOT CIR, COATESVILLE, PA 19320-2576
(610) 384-1002
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN270157
PA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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