Individual
JACKIE FORGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
200 S 333RD ST, SUITE 140, FEDERAL WAY, WA 98003-7359
(253) 661-8685
Mailing address
200 S 333RD ST, SUITE 140, FEDERAL WAY, WA 98003-7359
(253) 661-8685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007029
WA
Other
Enumeration date
02/01/2007
Last updated
09/24/2009
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