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NPI Code Detail

MEDICARE: MS. TIOSHA FORD

MEDICARE:  MS. TIOSHA  FORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1619812765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIOSHA FORD
Provider Business Mailing Address
First Line : 855 E TWAIN AVE STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0820
Country : US
Telephone Number : 702-333-2887
Fax Number : 866-487-5335
Provider Business Practice Location Address
First Line : 855 E TWAIN AVE STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0820
Country : US
Telephone Number : 702-333-2887
Fax Number : 866-487-5335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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1083559132 — MR. LAVEND CARLTON JAMES
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Directions to “ MS. TIOSHA FORD ” Practice Location

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