Individual
SHARON LARETA ROBERTS FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 ESHER PL, MARRERO, LA 70072-6711
(504) 255-2049
(504) 267-0233
Mailing address
2024 ESHER PL, MARRERO, LA 70072-6711
(504) 255-2049
(504) 267-0233
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2603057716601
—
LA
Enumeration date
03/27/2019
Last updated
03/27/2019
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