Individual
DAVID FORRISTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6140 S BROADWAY # 3324, LORAIN, OH 44053-3891
(440) 233-7232
Mailing address
6140 S BROADWAY # 3324, LORAIN, OH 44053-3891
(440) 233-7232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
345930
OH
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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