PENNY LYNN FORD

SHREVEPORT, LA
NPI1689110538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP09138)
Enumeration Date2017-01-17
Last Update Date2021-09-01
Business Address
PENNY LYNN FORD
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
Mailing Address
PENNY LYNN FORD
4970 FM 2517
CARTHAGE, TX 75633-8481
Phone number: 903-754-1316
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