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Individual

IVESHIA FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1308 SHERWOOD AVE, RICHMOND, VA 23220-1210
(804) 828-3129
Mailing address
PO BOX 980489, RICHMOND, VA 23298-0489

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-008754
VA

Other

Enumeration date
10/26/2022
Last updated
10/26/2022
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