Individual
MR. PETER MICHAEL FORLENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 SPRING ST, FRIDAY HARBOR, WA 98250-8057
(360) 298-1630
(360) 378-5669
Mailing address
520 SPRING ST, PO BOX 247, FRIDAY HARBOR, WA 98250-8057
(360) 298-1630
(360) 378-5669
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CDPT.CO.60187485
WA
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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