SearchCalifornia106H00000X

Detra Ford

NPI 1245706498 · on the registry since 2018

Practice

Address
415 Cornell Ave
Coalinga, CA 93210
Phone
(559) 341-3293

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California