JALISA KAMILLE FORD

REDFORD, MI
NPI1568022192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704349652)
Enumeration Date2019-06-17
Last Update Date2019-06-17
Business Address
JALISA KAMILLE FORD RN
9315 TELEGRAPH RD
REDFORD, MI 48239-1260
Phone number: 313-923-4924
Mailing Address
JALISA KAMILLE FORD RN
9315 TELEGRAPH RD
REDFORD, MI 48239-1260
Phone number: 313-923-4924
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