Individual
CHRISTOPHER FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BMS
Contact information
Practice address
720 UNIVERSITY, LAS VEGAS, NM 87701
(505) 454-8265
Mailing address
PO BOX 28220, SANTA FE, NM 87592
(505) 471-5006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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