Individual
MR. FORREST LEE COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
406 14TH ST, EUREKA, CA 95501-2313
(707) 502-4126
Mailing address
406 14TH ST, EUREKA, CA 95501-2313
(707) 502-4126
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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