Individual
TINA FORGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
610 N SILVER ST, SILVER CITY, NM 88061-6779
(575) 956-6131
Mailing address
605 STONE ST, SANTA CLARA, NM 88026-5190
(575) 956-6131
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1473
NM
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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