Victoria Teresa Fortner III

NPI 1790814747 - Counselor - 101Y00000X

NPI Details
NPI 1790814747
Gender Female
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12100 FIELDSTONE LN APT M65
BRYANT AR, 72022-6257, US
Phone (501) 594-5200
Fax (501) 594-5244
Business Location
12100 FIELDSTONE LN APT M65
BRYANT AR, 72022-6257, US
Phone (501) 350-4239
Fax (501) 594-5244
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Miss Victoria Teresa Fortner III NPI is 1790814747, taxonomy code is 101Y00000X Victoria Teresa Fortner III physically located at 12100 Fieldstone Ln Apt M65, Bryant AR, 72022-6257. NPI Number Victoria Teresa Fortner III has the Individual type.

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1790814747 NPI number is provided on an as is basis without warranty of any kind. 1790814747 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Teresa Fortner III are for informational purposes only.