Individual
MRS. DENISE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2805 CAZADERO DR, CARLSBAD, CA 92009-5902
(626) 357-8607
Mailing address
2805 CAZADERO DR, CARLSBAD, CA 92009-5902
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12466
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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