Individual
SERENITY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC, CPT
Contact information
Practice address
601 W KENTUCKY AVE STE 209, PAMPA, TX 79065-4221
(806) 661-8951
Mailing address
2145 DOGWOOD LN, PAMPA, TX 79065-3825
(806) 661-8951
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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