Individual
KELICIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
Mailing address
300 ANACOSTIA RD SE, APT #204, WASHINGTON, DC 20019-7184
(202) 560-0156
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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