Individual
KEIOKA SHANDREA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2714 CANAL ST, STE. 307, NEW ORLEANS, LA 70119-5548
(504) 827-1083
Mailing address
7400 SCOTTSDALE DR, NEW ORLEANS, LA 70127-1540
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RN151392
LA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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