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Dominique Ford, LPN

Licensed Practical Nurse in Cheektowaga, NY. Individual provider (NPI-1).

NPI number1487944518
StatusActive
Last updated in NPPESApr 11, 2011

Details

NPI
1487944518
Entity type
Individual (NPI-1)
Name
Dominique Ford
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2011
Last updated
Apr 11, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse301280NYYes

Practice location

1680 Walden Ave
Cheektowaga, NY 14225-4914

Phone 716-894-7777 · Fax 716-894-0604

Mailing address

34 Reservation St
Buffalo, NY 14207-2922

Phone 716-602-3822

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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