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Individual

JENNIFER FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
432 CYPRESS DR, LAKE PARK, FL 33403-3333
(561) 490-5663
Mailing address
432 CYPRESS DR, LAKE PARK, FL 33403-3333
(561) 490-5663

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/20/2020
Last updated
09/20/2020
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