Individual
MS. COLLEEN FORILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 N ONTARIO ST, TOLEDO, OH 43611-3727
(419) 870-9657
Mailing address
2036 N ONTARIO ST, TOLEDO, OH 43611-3727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN146888MIV
OH
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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