DEDRA DELANE FORD

SOUTHFIELD, MI
NPI1649880329
Other NameDEDRA FORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704286031)
Enumeration Date2020-08-06
Last Update Date2021-01-13
Business Address
DEDRA DELANE FORD NP-C
22250 PROVIDENCE DR STE 202
SOUTHFIELD, MI 48075-6210
Phone number: 248-849-7400
Mailing Address
DEDRA DELANE FORD NP-C
22250 PROVIDENCE DR STE 202
SOUTHFIELD, MI 48075-6210
Phone number: 248-849-7400
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