Individual
SHAQUANA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19357 CARMAN ST, DETROIT, MI 48203-1565
(313) 293-0234
Mailing address
19357 CARMAN ST, DETROIT, MI 48203-1565
(313) 293-0234
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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