Individual
MACY ANNE-NOEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18609 E 9TH CT, SPOKANE VALLEY, WA 99016-8652
(208) 651-9495
Mailing address
18609 E 9TH CT, SPOKANE VALLEY, WA 99016-8652
(208) 651-9495
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
000000019202
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019202
NURSE ASSISTANT CERTIFICATION
ID
Enumeration date
04/10/2017
Last updated
04/10/2017
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