Individual
JACINTA K FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4031 COLONEL GLENN HWY, SUITE 133, BEAVERCREEK, OH 45431-2774
(855) 232-0644
(888) 546-0488
Mailing address
4031 COLONEL GLENN HWY, SUITE 133, BEAVERCREEK, OH 45431-2774
(855) 232-0644
(888) 546-0488
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003112
OH
Other
Enumeration date
01/04/2011
Last updated
02/28/2023
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