Tanya R Forsman MC

NPI 1235265638 - Counselor - 101YM0800X

NPI Details
NPI 1235265638
Gender Female
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
275 SOUTH 5TH AVE
SUITE 155
POCATELLO ID, 83201, US
Phone (208) 232-2506
Fax (208) 478-9558
Business Location
275 SOUTH 5TH AVE
SUITE 155
POCATELLO ID, 83201, US
Phone (208) 232-2506
Fax (208) 478-9558
Toxanomy
Taxonomy Code 101YM0800X
License State Idaho
License Number 187
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According to our database, Ms. Tanya R Forsman MC NPI is 1235265638, taxonomy code is 101YM0800X and license number is 187, license state is located at Idaho. Tanya R Forsman MC physically located at 275 South 5th Ave, Pocatello ID, 83201. NPI Number Tanya R Forsman MC has the Individual type.

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1235265638 NPI number is provided on an as is basis without warranty of any kind. 1235265638 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya R Forsman MC are for informational purposes only.