Individual
GENA M FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2117 W OWEN K GARRIOT, INSIDE BEYOND BEAUTY, ENID, OK 73703
(417) 894-7798
Mailing address
2319 SEMINOLE ST, ENID, OK 73703-7665
(417) 894-7798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
156882
OK
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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