Jalisa Kamille Ford, RN

NPI #1568022192 in Redford, Michigan

Provider Information

NPI Number: 1568022192
Entity Type: Individual
Name: Jalisa Kamille Ford, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 9315 TELEGRAPH RD
City: Redford
State: Michigan
ZIP Code: 48239-1260
Phone: (313) 923-4924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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