Individual
JASON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1317 ROSE OF SHARON CT, PLEASANT GARDEN, NC 27313-8216
(336) 253-3354
Mailing address
1317 ROSE OF SHARON CT, PLEASANT GARDEN, NC 27313-8216
(336) 253-3354
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65748
NC
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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