Individual
ALEXANDRIA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4648 EDDY RIDGE RD, MARION, NY 14505-9329
(315) 573-0530
Mailing address
4648 EDDY RIDGE RD, MARION, NY 14505-9329
(315) 573-0530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333982
NY
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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