Individual
MRS. SHEVELLE GRIFFIN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23980 FLENIKEN LN, PLAQUEMINE, LA 70764-3068
(225) 281-8166
Mailing address
PO BOX 80002, BATON ROUGE, LA 70898-0002
(225) 281-8166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15308
LA
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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