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Individual

INDRIA S FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-6732
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-6732

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4703099381
MI
163WC1500X
Community Health Registered Nurse
Primary
4703099381
MI
164W00000X
Licensed Practical Nurse
4703099381
MI

Other

Enumeration date
08/23/2013
Last updated
09/03/2024
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