Individual
DARRELL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
(702) 483-5919
Mailing address
2715 E RUSSELL RD, LAS VEGAS, NV 89120-2426
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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