Individual
DR. GINA DIANE FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3841 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1899
(702) 577-5829
Mailing address
PO BOX 561564, DENVER, CO 80256-1564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01610
NV
111NS0005X
Sports Physician Chiropractor
1058
SC
Other
Enumeration date
05/07/2012
Last updated
01/16/2024
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