Individual
JAQUITA BRITTANY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W 26TH ST, NORFOLK, VA 23517-1215
(757) 782-0722
Mailing address
621 W 26TH ST, NORFOLK, VA 23517-1215
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
11844161
VA
Other
Enumeration date
02/23/2026
Last updated
02/25/2026
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