SAMANTHA FORD

GRAND RAPIDS, MI
NPI1730556796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  1576)
Enumeration Date2015-08-26
Last Update Date2015-08-26
Business Address
-- SAMANTHA FORD ATC
4100 LAKE DR SE
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
Mailing Address
-- SAMANTHA FORD ATC
4100 LAKE DR SE
GRAND RAPIDS, MI 49546-8292
Phone number: