Individual
JOSANNIE VERONICA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.A
Contact information
Practice address
25590 PROSPECT AVE APT 8E, LOMA LINDA, CA 92354-3144
(909) 283-2424
Mailing address
25590 PROSPECT AVE APT 8E, LOMA LINDA, CA 92354-3144
(909) 283-2424
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA87377
CA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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