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Individual

ERICH FORTENBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CERT FITNESS TRAINER

Contact information

Practice address
5100 KANSAS AVE NW, WASHINGTON, DC 20011-3215
(202) 360-0185
Mailing address
5100 KANSAS AVE NW, WASHINGTON, DC 20011-3215

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
08/20/2015
Last updated
08/20/2015
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