Shanise Ford
NPI #1467900233 in Monticello, Florida
Provider Information
- NPI Number
- 1467900233
- Entity Type
- Individual
- Name
- Shanise Ford
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Homemaker
- Enumeration Date
- Sep 21, 2016
- Last Updated
- Oct 4, 2016
Practice Location
- Address
- 510 S MARVIN ST
- City
- Monticello
- State
- Florida
- ZIP Code
- 32344-2522
- Phone
- (850) 212-3030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
| Homemaker |
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