Individual
ANTHONY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 MAPLE HILL AVE STE 1, PETERSBURG, WV 26847-1547
(304) 257-9298
Mailing address
264 SAINT CLOUD ST, KEYSER, WV 26726-2732
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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