Individual provider · NPI-1

Precious Alford

Clinic/Center · Fort Pierce, FL

NPI number1912468562
StatusActive
Last updated in NPPESMar 27, 2019

Details

NPI
1912468562
Entity type
Individual (NPI-1)
Name
Ms. Precious Alford
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2019
Last updated
Mar 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2817 Jefferson Pkwy Apt B
Fort Pierce, FL 34946-6751

Phone 772-940-4655

Mailing address

2817 Jefferson Pkwy Apt B
Fort Pierce, FL 34946-6751

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