Leonora S Forist
Contractor in Mount Pleasant, MI. Individual provider (NPI-1).
NPI number1821365545
StatusActive
Last updated in NPPESNov 23, 2011
Details
- NPI
- 1821365545
- Entity type
- Individual (NPI-1)
- Name
- Ms. Leonora S Forist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2011
- Last updated
- Nov 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | AF370255232 | MI | Yes |
Practice location
439 S Fancher StMount Pleasant, MI 48858-2614
Phone 989-772-9356
Mailing address
439 S Fancher StMt Pleasant, MI 48858-2614
Phone 989-772-9356
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