Individual
JENNIFER FORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 N 5TH AVE, HOLBROOK, AZ 86025-2817
(928) 524-2853
Mailing address
105 N 5TH AVE, HOLBROOK, AZ 86025-2817
(928) 524-2853
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.102122
IL
2084P0800X
Psychiatry Physician
Primary
30617
AZ
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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