Individual
MICHAEL LYNN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16389 ROAD 20, CORTEZ, CO 81321-8751
(970) 739-6408
Mailing address
16389 ROAD 20, CORTEZ, CO 81321-8751
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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