Individual
CECELIA FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34248 E. TOWLE RD., ALTA, CA 95701
(530) 389-9208
Mailing address
PO BOX 1150, ALTA, CA 95701-1150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5504
CAS REGISTRATION
CA
Enumeration date
03/28/2007
Last updated
07/08/2007
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