Individual
MRS. FORREST JUNE FOGELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
910 NAN CT, SANTA MARIA, CA 93454-3151
(805) 614-4023
Mailing address
910 NAN CT, SANTA MARIA, CA 93454-3151
(805) 614-4023
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
388276
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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