Individual
AKACIA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CES
Contact information
Practice address
1020 PACIFIC ST, SAN BERNARDINO, CA 92404-6228
(909) 388-6419
Mailing address
300 WELLESLEY DR APT 102, CORONA, CA 92879-5999
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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