Individual
HALEY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2321 MORENA BLVD, SAN DIEGO, CA 92110-4136
(510) 371-3477
Mailing address
9561 PODELL AVE, SAN DIEGO, CA 92123-3636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
226300000X
Kinesiotherapist
—
CA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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