Individual
CORINTHIA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17840 DWYER ST, DETROIT, MI 48212-1363
(313) 740-1052
Mailing address
17840 DWYER ST, DETROIT, MI 48212-1363
(313) 740-1052
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020
—
MI
Enumeration date
01/28/2020
Last updated
01/28/2020
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