Individual
JENISHIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6733 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7112
(817) 386-9138
Mailing address
525 W WESTCHESTER PKWY APT 1826, GRAND PRAIRIE, TX 75052-2839
(214) 725-0032
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332547
TX
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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