Individual
SHAWN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W WARREN AVE, DETROIT, MI 48208-2216
(313) 596-3555
Mailing address
2001 W WARREN AVE, DETROIT, MI 48208-2216
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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