Individual
MRS. STACIE SNADON-FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
461 ROLAND ST, PONTIAC, MI 48341-2372
(248) 342-2866
Mailing address
461 ROLAND ST, PONTIAC, MI 48341-2372
(248) 342-2866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704317802
MI
164W00000X
Licensed Practical Nurse
4703107323
MI
Other
Enumeration date
12/11/2012
Last updated
08/03/2016
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