Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1144492216 |
---|---|
Provider Name | Dr. Sheryl Lyn Ford |
First Address | North Branch, MN 55056-6312 |
Second Address | North Branch, MN 55056-6312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2008 |
Last Update Date | 29/03/2008 |