Individual
JAIMIE D FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
12251 W BLACKSTONE CT, PEORIA, AZ 85383-2427
(480) 205-2724
(623) 444-7153
Mailing address
12251 W BLACKSTONE CT, PEORIA, AZ 85383-2427
(480) 205-2724
(623) 444-7153
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5230
AZ
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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