Individual
CHARMAINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6180 OLD FRANCONIA RD STE B, ALEXANDRIA, VA 22310-2594
(202) 507-1889
Mailing address
6180 OLD FRANCONIA RD STE B, ALEXANDRIA, VA 22310-2594
(202) 507-1889
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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