Individual
MR. HARIM H FORESTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5005 LOSEE RD APT 3129, NORTH LAS VEGAS, NV 89081-2487
(702) 612-0859
Mailing address
5005 LOSEE RD APT 3129, NORTH LAS VEGAS, NV 89081-2487
(702) 300-1888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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