Individual
STARCANIA DANIELLE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5242 HAYTER AVE, 5, LAKEWOOD, CA 90712-2331
(424) 236-8027
(424) 236-8027
Mailing address
PO BOX 1091, LAKEWOOD, CA 90714-1091
(424) 236-8027
(424) 236-8027
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
9771
CA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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