Individual
DANIEL J. FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDCC
Contact information
Practice address
800 SCENIC DR BLDG F, MODESTO, CA 95350-6131
(209) 661-1596
Mailing address
3819 PRINCE ANDREW DR, RIVERBANK, CA 95367-3094
(209) 409-5089
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/05/2016
Last updated
05/13/2025
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