Individual
FAYEONNA C FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40703 LONG HORN DR # A, STERLING HEIGHTS, MI 48313-4224
(313) 970-3887
Mailing address
40703 LONG HORN DR # A, STERLING HEIGHTS, MI 48313-4224
(313) 970-3887
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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