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Individual

MS. PRECIOUS ALFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2817 JEFFERSON PKWY APT B, FORT PIERCE, FL 34946-6751
(772) 940-4655
Mailing address
2817 JEFFERSON PKWY APT B, FORT PIERCE, FL 34946-6751

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800137625
FL
Enumeration date
03/27/2019
Last updated
03/27/2019
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