Individual
LAJEAN AVON FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
12712 HEACOCK ST, SUITE 7, MORENO VALLEY, CA 92553-3037
(951) 924-6824
(951) 601-9302
Mailing address
1621 VALLEY FALLS AVE, REDLANDS, CA 92374-2777
(909) 794-3411
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
CNM 1458
CA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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