Ellese Marie Ford

NPI #1851717193 in Crystal, Minnesota

Provider Information

NPI Number
1851717193
Entity Type
Individual
Name
Ellese Marie Ford
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Mar 11, 2014
Last Updated
Mar 11, 2014

Practice Location

Address
6000 BASS LAKE RD
Address 2
SUITE 105
ZIP Code
55429-2700
Phone
(612) 998-9838

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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